Saturday, March 26, 2016

Shoulder surgery details .

Shoulder surgery details .


The biceps is attached to the upper arm by two heads, long and short. With the hand held out, palm facing forward the short head is on the inside, the long head runs up the outside to the top of the humerus, makes a sharp right angle and attaches to the far side of the shoulder socket. Exactly what happened and when is unclear but this is what we suspect. I separated that shoulder and probably broke the coracoid process bone back in 1981 in a sports injury. The coracoid is a hook shaped bone right in front of the shoulder ball joint, and over the long head tendon. It healed with a longer hook and developed bone spurs that rubbed against the tendon, and totally severed it. I believe this happened memorial day weekend two years ago. X-ray and MRI images were inconclusive, the pain level wasn't bad then but it got worse. It was not suspected to have been a total tear as usually it results in a hard bulge in the biceps, called Popeye syndrome and I don't have that. We knew there were several bone spurs and scar tissue in the joint before surgery and suspected damage to the long head. As it's already been retracted into the muscle belly for some time and I've not lost any appreciable motion or use of the arm it was best to leave it. Had the surgeon tried to reattach the tendon it would have been open surgery cut from the armpit to the inside of the elbow, an immobilizing sling for 6 weeks and 4-6 months for full recovery. We took the best option, I have very little pain right now, doing some simple therapy exercises and expect to have full unrestricted use buy the weeks end. With the bone spurs and scar tissue removed I should no longer have pain in that joint, very thankful for that.

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