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Shoulder surgery?

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Honor&Glory

Honor&Glory

Paper,Rock, Scissors, Lizard, Spock!
any younger athletic types have your shoulder scoped?
My daughter is having her throwing arm scoped next week. Doc suspects Labrum but the arthrogram MRI was not conclusive. Her rotator cuff looked sound. But the pain she experiences when throwing just won't go away. Been treating it for 12 months now. Hoping it is a bone/tendon issue that can be cut away and smoothed.

In any case I wanted to ask what your experiences were and what my expectations should be. She's a strong kid and her shoulders are stable. Just hurts to throw.
 
Sadly, I have way too much experience in this arena (oldest son)... I learned that virtually everyone has some type of shoulder damage... and BTW everyone > 40 does.. but your daughter is so young.. altho that youth is also not in concert with the stress she's putting on that shoulder...

If they scope it, they'll almost certainly find labrum damage... I bet on it... but the real question is... what to do about it... surgeons like to operate.. that's what they do
Here's the crappy part of my post.. I still don't know what to suggest since we're now 4 labrum surgeries and 15 years in since the first... and the problem is still there

Here's what I do know... an I think you answered this before... I cannot say strongly enuf, the quality of the surgeon is the most important element..
and we even discussed the possibility of going to Dr Andrews who is considered the king of orthopedics especially shoulders and knees

The previous thread also dealt with tangential issues such as your daughter is going into senior year and colleges are looking... obviously you've taken that into consideration...
The simplest of labrum tears involves the scope and removing the flapping parts of the labrum... the most serious involves having to stitch the labrum so that the rotator cuff won't disengage
The simplest has recoveries of a few weeks to 2 months.. the most serious is minimum 6 mths and often a full year... shoulders are rough and you don't take rehab serious... you'll hurt for life
 
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Honor&Glory said:
any younger athletic types have your shoulder scoped?
My daughter is having her throwing arm scoped next week. Doc suspects Labrum but the arthrogram MRI was not conclusive. Her rotator cuff looked sound. But the pain she experiences when throwing just won't go away. Been treating it for 12 months now. Hoping it is a bone/tendon issue that can be cut away and smoothed.

In any case I wanted to ask what your experiences were and what my expectations should be. She's a strong kid and her shoulders are stable. Just hurts to throw.
Click to expand...

Don't send her to Tim Kremchek.
 
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NJ-Buckeye said:
I still don't know what to suggest since we're now 4 labrum surgeries and 15 years in since the first... and the problem is still there.
Click to expand...

this is why my doc strongly advised against surgery for my shoulder.

he pretty much told me point blank that I'm probably never getting my shoulder back.

said I was in for a long and potentially brutal recovery/rehab to probably ultimately end up in the exact same condition I'm in now.

so I chose to use over the counter methods of pain control (whiskey works well).
 
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The problem is.. this is an active child with an athletic future... so doing nothing may not be an option
cost my oldest 4 fun years on the OSU baseball team with Swisher
 
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@CentralMOBuck sorry you had to have an exorcism... you musta been really evil.. shoulda paid $79.95 and got a baptism when the special was being run...

I had two monster bone spurs chiseled out of my shoulder a yr ago... told the doctor, I've never hurt my shoulder that I can recall... he asked "how many years did you throw batting practice.. I replied "30 years and my curve ball was awesome" .. he replied "duh" .. my boys never said they had enuf batting practice.. they dug in till I hit them 3 times, then we knew Dad was outta gas or arm was going to fall off.. rehab/hurt seemed to take forever.. and then one day.. all gone.. not allowed to do various weights... like no shoulder exercises that go higher than the shoulder and all chest work vastly reduced... no flies... but I have lots of body parts past warranty

but it bugs me that my son hurt his shoulder when he was 17 and has dealt with major issues for 15 yrs and may have to deal the rest of his life... that hurts as a parent
 
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NJ-Buckeye said:
Sadly, I have way too much experience in this arena (oldest son)... I learned that virtually everyone has some type of shoulder damage... and BTW everyone > 40 does.. but your daughter is so young.. altho that youth is also not in concert with the stress she's putting on that shoulder...

If they scope it, they'll almost certainly find labrum damage... I bet on it... but the real question is... what to do about it... surgeons like to operate.. that's what they do
Here's the crappy part of my post.. I still don't know what to suggest since we're now 4 labrum surgeries and 15 years in since the first... and the problem is still there

Here's what I do know... an I think you answered this before... I cannot say strongly enuf, the quality of the surgeon is the most important element..
and we even discussed the possibility of going to Dr Andrews who is considered the king of orthopedics especially shoulders and knees

The previous thread also dealt with tangential issues such as your daughter is going into senior year and colleges are looking... obviously you've taken that into consideration...
The simplest of labrum tears involves the scope and removing the flapping parts of the labrum... the most serious involves having to stitch the labrum so that the rotator cuff won't disengage
The simplest has recoveries of a few weeks to 2 months.. the most serious is minimum 6 mths and often a full year... shoulders are rough and you don't take rehab serious... you'll hurt for life
Click to expand...

We have been trying to rehab it and have done all the steroid paks and cortisone injections allowed in a 12 month period.
She just can't throw anymore. Doctor has gone on record that he doesn't want to operate on it because of her age and strength. This past weekend was the final straw for us. She can't play anymore. So she has no choice. If to me surgery doesn't work her playing days were over regardless.
She has committed to D2 Malone University on a softball scholarship. The coach has assured her that her scholarship offer is still in place and they are 100% committed to her.

The doc said if he doesn't have to touch the labrum he won't. Only would he debride it if the fraying was bad and would only anchor of the tear was a type II tear.
But based on recent exams he is thinking that the issue may be her collarbone. At 12 she dislocated the SC joint and when that healed the collarbone had shifted. The pain radiates down the back of her arm which indicates to him that is the rotator cuff tendons being pinched or squeezed by the bone. We are all hoping all that needs to be done is a resection on that bone. I dunno. I'll let you know how it goes next week.
 
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CentralMOBuck said:
I had a Distal Clavicle Excision in February for a really bad shoulder impingement. Has that been ruled out?
Click to expand...
No, in fact that is what he is thinking based on her last exam. X-rays and MRI were inconclusive. When she starts seeing him last year she did have tendinitis in the biceps tendon and the exam did suggest labral tear. However she is hypermobile so her arm will bend further back than a normal person so the stress point might indicate an issue when all it really means is she is flexible.
Last round of tests he couldn't budge her arm and she didn't wince.
 
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