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Thread: SLAP lesion MRI not diriment: your experience??

  1. #1
    Barbarian falpis's Avatar
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    Default SLAP lesion MRI not diriment: your experience??

    i just received the mri dye response but i still have to check my surgeon:
    it says that the superior labrum is irregular and partially detached, anteriorly the biceps anchor.

    the insertion of the bicep is, anyway, normal.
    the rotator cuff is also normal.

    so, at the end of the day, there is a small lesion but it's not granted that that is the cause of the pain, from what i understand.
    my question to the peole that had slap surgery done is: do you also had this kind of questionable mri response or your lesion were more significant??
    should i insist getting an operation after 1 year of pain and being on and off the gym, just doing stretching and rotator cuff strenghtening....

    thanks in advance for the help

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    Barbarian falpis's Avatar
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    just been to the orthopaedic surgeon.
    he said i definitely need an operation.
    probably i will need not only a repair with the small anchors, but it's likely that i need a tenodesis: the bicep long head tendon will be cut and reiinserted on the humeral head!!

    i will likely need a longer recovery time...about 6 months away from the gym

    what about you guys?

  3. #3
    Little Guy
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    I had a tenodesis done on my right bicep tendon February 8. Surgeon said I only had 10% of the tendon left intact. He reattached it to the sheath surrounding the bicep, can't lift on it for 6 months. He said he preferred that method as opposed to the usual screw in the humerus because drilling the hole in the bone weakens it significantly (~30%).

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    Barbarian falpis's Avatar
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    Quote Originally Posted by bigdtv View Post
    I had a tenodesis done on my right bicep tendon February 8. Surgeon said I only had 10% of the tendon left intact. He reattached it to the sheath surrounding the bicep, can't lift on it for 6 months. He said he preferred that method as opposed to the usual screw in the humerus because drilling the hole in the bone weakens it significantly (~30%).
    how is your rehab going?
    i've just got out of the hospital. i had thr bicep long hrad cut and reattached to the top of the humerus bone with a metal anchor.

  5. #5
    Muscle Head
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    Man, I know I'm late to the post, but I had a similar injury years ago - I know that it's probably best to fix the condition (surgically) as early as possible if you're goal is to remain physically active and involved in sports where the shoulder is a crucial component for performance. Contrast MRI's (or arthogram MRI's) are the most accurate, minimally invasive techniques to view the inside of the shoulder joint (without the dye, it's hard to distinguish what is really going on within that joint) - anyways, a physician/surgeon won't really have a 100% accurate diagnosis until they investigate arthroscopically - I went into surgery thinking I was just getting a subacromial decompression and woke up with that and a labral repair surgery (they hadn't detected the torn labrum in the MRI, but he saw it when he was doing the surgery). Rehab took about 8-9 months until I returned to sport, but it was worth it. Now my other shoulder hates me!!!

    Did you get the surgery? If so, did it help?

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