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Grade 3 Shoulder Separation

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td_in_nc View Drop Down
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    Posted: January-02-2019 at 8:31pm
Separated my shoulder (grade 3) this past weekend. Looking at two options:
1. No surgery and live with the bump.
2. Surgery to repair join. (6 months for full recovery)

I am still very active in sports and still want to continue,

At 50 I am wondering if it worth going through with the surgery and was wondering if anyone else has been through this.and have any advice they would be willing to share

Thanks
Tom
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Post Options Post Options   Thanks (0) Thanks(0)   Quote GHTILL Quote  Post ReplyReply Direct Link To This Post Posted: January-02-2019 at 9:20pm
Had a complete tear in my rotator cuff. Didn't have surgery for a while since an MRI wasn't performed until after all PT was exhausted. Big mistake #1. Second Big mistake was not seeking a second opinion. ALWAYS get a second opinion when looking at any type of surgery. My surgery left me with a partially numb right hand (hard when you are a dentist).
At 50, you still have plenty of skiing ahead, if done correctly.
Still glad I had mine repaired, just wish I would have done a little more research ahead of time.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Air206 Quote  Post ReplyReply Direct Link To This Post Posted: January-02-2019 at 9:23pm
I know a 55+ yr old guy that didn't have surgery. As an electrician, over a year later he has pain and trouble raising his arms to the ceiling to install lights. I would get it fixed -you aren't 80 and you don't have a ton of co-morbidities, right? (obese, heart disease, smoke, cancer, poor attitude, etc.....).

You make it sound like the options are 6 months of pain post-op or no pain and a bump. How are you now? Good range of motion, full use, pain-free, and only a bump? Probably not. That will continue ALONG with your "bump" if not repaired. The repair will not return it to the way it was -you ripped it up. There are risks and costs of repair, but it's your best chance of returning to near-normal function and yes, you will have issues with pain down the road with either surgery or none.......

What are your doctors' and your families thoughts? I would hate to think you are leaving your medical care up to an internet vote of boating enthusiasts.......    At least ask Doc Overby or DocDoc....... Or even better - talk to the surgeons that will do it so you can weigh the pros and cons.... most importantly, if married, do what your wife says!

Steve
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Post Options Post Options   Thanks (0) Thanks(0)   Quote td_in_nc Quote  Post ReplyReply Direct Link To This Post Posted: January-02-2019 at 9:32pm
Thanks for the info so far. Have been to see a great orthopedic surgeon in Raleigh. Several family members are PTs . the decision seems very simple if Grade 1 or 2 ( no surgery) or Grade 4 (surgery). As a 3 doctor expects a good recovery either way, but did say may impact overhead throwing motion. Which is concern as I play a lot of volleyball, but I am not playing at the same level I was 20 years ago.    Most of the PTs I know indicate that it is uncommon for grade 3 to have surgery and people recover well.

Really was not looking for a vote, just wondering if anyone else has been through it as it is not a clear decision. At this point I am thinking of starting PT and seeing how it goes, If it goes badly I will opt for the surgery.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote JPASS Quote  Post ReplyReply Direct Link To This Post Posted: January-02-2019 at 10:02pm
I tore the labrum in my right shoulder last year (44 years old). Dr said surgery would absolutely fix it, but I could try PT first as the tear wasn't too bad. My pain level was 8-10 when I moved a way it didn't like and the strength in my right shoulder and arm was severely diminished.

I did PT twice a week for 12 weeks and I was good to go. I had to build my strength back up, but the pain was gone and I had about 95% range of motion.

I'm a huge wuss, so I'm all for trying less invasive options first whenever possible.



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Post Options Post Options   Thanks (0) Thanks(0)   Quote Orlando76 Quote  Post ReplyReply Direct Link To This Post Posted: January-02-2019 at 10:09pm
1) what kind of work are you in and how will the down time affect your work?
2) according to my inlaws, NC is the Mecca of medicine so you should be in good shape with plenty of options. FL doctors get their training from a feed store, California from a surf shop, and Chicago from a crack house.
3) I’m in the lowest point of my life due to my ski accident you probably read about. Going 3 months in. Zero work, can’t do any maintenance or repairs around the house and toys. I can’t imagine 6 months full recovery. I’m to the point I’ll go against doctors orders if it means some discomfort forever vs. Another month of this hell. And I’m not quite 36 yet.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote SNobsessed Quote  Post ReplyReply Direct Link To This Post Posted: January-02-2019 at 10:13pm
I have had good results with PT, not specifically shoulder though. Surgery = scar tissue so exhaust non-trauma options 1st.

Trick is to do the exercises at home like your supposed to. it is too easy to slack off.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MrMcD Quote  Post ReplyReply Direct Link To This Post Posted: January-02-2019 at 11:21pm
The problem having a shoulder separation is it loosens all the joint up. Makes you vulnerable to future issues.
I work ski patrol and have seen kids come in for help and tell me they have dislocated the shoulder 7-8 times. It is so loose it just keeps popping out.   That limits your use and who knows how much pain it will cause later in life due to severe arthritis.
If it is an option to re hab in PT great, if not get it fixed.
My ski buddy crashed his bike, broke his collar bone, They said he needed surgery to fix it right or he could just let it heal. He went for the later.   His shoulder healed in the wrong position. Wearing a Tshirt you could see the deformity and his range of motion was all limited.   After a year he went back and got the proper surgery and repair. We skied this past Summer, not 6 mos after his surgery and he looked right again and had his range of motion and strength back. He is 61 now.
In 6 mos it will be June and you will be nearly 100%.
My brother had shoulder surgery 3 mos ago and he already says he is much better than before surgery and ahead of schedule for the rehab. They are getting pretty good at shoulder repairs today.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fanofccfan Quote  Post ReplyReply Direct Link To This Post Posted: January-02-2019 at 11:37pm
I have bumps on both. 52 now and bumps have been there 10 years on one and 12 on other. Dr said both times I could try fixing them but opted for not. So far so good but I do stay active and also consider myself fortunate. Good luck with whatever you decide.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote NCH20SKIER Quote  Post ReplyReply Direct Link To This Post Posted: January-02-2019 at 11:56pm
So I have partial tear in my left rotator and unknown for another couple of weeks (until the MRI comes back) on the right. I am still footing but struggle with raising my arms over head doing arm windmills etc-
I will give a HUGE shout out to the gang at Ortho Carolina who treats many of the NASCAR Teams, NFL, College teams etc.

PA Lynch and Dr. Piasecki are fantastic and will give you straight forward advice and options to consider.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Smithfamily Quote  Post ReplyReply Direct Link To This Post Posted: January-03-2019 at 9:38am
Originally posted by td_in_nc td_in_nc wrote:

Separated my shoulder (grade 3) this past weekend. Looking at two options:
1. No surgery and live with the bump.
2. Surgery to repair join. (6 months for full recovery)

I am still very active in sports and still want to continue,

At 50 I am wondering if it worth going through with the surgery and was wondering if anyone else has been through this.and have any advice they would be willing to share

Thanks

You WERE 50!!!! Happy Birthday Tom!!!







Tom
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Treybizttu Quote  Post ReplyReply Direct Link To This Post Posted: January-03-2019 at 1:41pm
Both my shoulders have AC seperations.. I forget what grade but they are both noticable through a t-shirt if that helps. ;)

Cliff notes:

I did not repair either.
Both were in my mid-20s, I'm 36 now.
Both Hurt, Somedays are worse than others. More active I stay, good sleep, and less alcohol the better they feel.
I'm not going to age real well and these will contribute but I'm mostly TI rods and screws at this point from a less than successful motocross "career".

Your results may vary.


Trey




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Post Options Post Options   Thanks (0) Thanks(0)   Quote MrMcD Quote  Post ReplyReply Direct Link To This Post Posted: January-03-2019 at 3:49pm
When I was Footing a lot at age 33 the falls hurt both my shoulders. I failed to release the handle in a BF crash and the fast hard pull jerked both shoulders hard. Being young and dumb I never went to a Doctor for it.   Could not lift either arm over my head for about 2 years. Could not throw a football or baseball for about 4 years.   I started lifting light weights and then progressed to heavy weights and they came around and have been fine since, nearly 30 years later.   Full range of motion and abilty to throw came back. Not sure if the time to heal 2-4 years helped or if I should have entered rehab earlier. Mine might have been muscle tears rather than actual shoulder damage like you have..
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Post Options Post Options   Thanks (0) Thanks(0)   Quote SNobsessed Quote  Post ReplyReply Direct Link To This Post Posted: January-03-2019 at 5:02pm
Dirt bikes & ski falls were my spinal moments too.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote skicat Quote  Post ReplyReply Direct Link To This Post Posted: January-03-2019 at 11:02pm
I tore my rotator cuff and labrum 7 years ago in an auto accident. I was 54 at the time and my Dr ask at my age what did I want to be able to do. I said anything I wanted to. He said go for the surgery. They had to put pins in to reattach everthing. Very painful recovery and PT process, but if I had it to do over I would make the same decision. That shoulder is better than my other one and I have no pain or problems with it. I did have a great surgeon here in Atlanta that told me the same thing Steve mentioned above. This wasn't an injury that would heal back and be fine. The PT allows you to build up the muscles around the injury and will help you cope with it. Just be prepared to sleep sitting up for a while. You will not like laying down on it.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Donald80SN Quote  Post ReplyReply Direct Link To This Post Posted: January-04-2019 at 1:03am
Originally posted by Air206 Air206 wrote:

you aren't 80 and you don't have a ton of co-morbidities, right? (obese, and, poor attitude, etc.....).

Steve
(Surgery enthusiast)


Dr. Steve,
Were you talking about me?

Donald
Obese and poor attitude, etc.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote td_in_nc Quote  Post ReplyReply Direct Link To This Post Posted: January-05-2019 at 1:07pm
Thanks for all the responses- I appreciate this site as people are always helpful.   

I am going to go the route of going the route of PT and if all goes well avoid surgery, Definitely have a noticeable step in my shoulder.

The injury really seems to be limited to my AC joint (hopefully nothing else is damaged). So if all goes well all I will have is a bump and residual pain (which I am use to as I had 2 surgeries on the same shoulder 25 years ago when I dislocated the shoulder)   That was a long and painful recovery. The surgery to repair this would not have been nearly as bad.   

Todd - I did read about your accident,   I hope your recovery progresses well, just keep doing what docs tell you and try to keep a positive attitude.   
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tryathlete Quote  Post ReplyReply Direct Link To This Post Posted: January-05-2019 at 10:41pm
Unbelievable Allen Hurns injury on the Cowboys -Seahawks game. Orlando 76 looked like yours—and I noticed it before the two meatheads (Buck and Hallofamer) even made a comment.

I can’t unsee it
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tryathlete Quote  Post ReplyReply Direct Link To This Post Posted: January-05-2019 at 10:46pm
But you can see it if you have a strong stomach

Hurns season-ender ankle injury
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