WHAT IS SUPRASPINATUS TENDINOSIS?

[JEN]

Recently, I had an MRI of my left shoulder. The impression states various things. Can you explain what it means to me since all the terminology is medical. I had two car accidents in 2003. Ever since I live in chronic pain. One of my many pains is my shoulders.
1. Suprapinatus tendinosis
2. subacromial subdeltoid bursal bursitis
3. lateral down slopin acromion, with findings of supraspinatus tendinosis and subacromial subdeltoid bursitis raise the likelihood of subacromial imingement.
4. Focus of intra-substance high signal within the anterior-superior labrum, may represent a sublabral foramen.
CAN YOU EXPLAIN THE ABOVE IN PLAIN ENGLISH PLEASE? Thank you, for any help you can provide.

[YankeeBeckham]

Hi Jen,
Your rotator cuff is made up of four muscles: supraspinatus, infraspinatus, teres minor, and the subscapularis, and it functions to stabalize the shoulder, and help lift and rotate the arm. The supraspinatus, which is on the top of the shoulder under your collarbone, is the most commonly injured of these muscles. Tendonitis is the inflammation of a tendon, which can make your shoulder painful, especially when you extend your arm away from your body. Many joints have bursae, which are sacs filled with synovial fluid located where your muscles slide over your bone to reduce friction. The subacromial bursa is under your acromion (tip of your collarbone) and above your humerus (arm bone) Bursitis is the inflammation of the bursa, which causes pain, swelling, and grinding in the joint due to the increased friction. Between the tendonitis and the bursitis, you have a lot of inflammation in a tight space. This leads to impingment because your rotator cuff rubs against your acromion, causing pain, tenderness in the front of your shoulder, and a grinding feeling. In general, not a lot of fun. A foramen is an anatomical opening, and a sublabral foramen would be an opening under your labrum, which is cartilage that surrounds your scapula (shoulder blade) to help keep your arm in the socket (it kind of acts as the pocket on a catcher's mitt would to make it easier to catch the ball or arm).

If I were you, I would see your doctor. He may want to get you going with some physical therapy to make sure you don't lose range of motion or strength. In the mean time, icing for 20 minutes at a time is helpful because it will keep swelling and inflammation down and therefore give you more room in shoulder for things to move around. You might want to consider taking some anti-inflammatories such as ibuprofen (advil, motrin, etc.) if it is safe for you to do so.

[JEN]

Thank you for your response, it was very helpful. I am not too familiar with medical terminology and you explain everything very clear to me. God Bless you! and HAPPY HOLIDAYS!!!

[gmaniago]

Hi All,

I have a repeated shoulder dislocation (right) i had a MRI and these are the findings.

Multiplanar MRI study if the right shoulder shows focal compression defect in the posterior - superior lateral segment of the humeral head appearing itnermediate T1-With prolonged signals on the T2-W images.

There are signal abnormalities with disappearance of the anterior lip of the glenoid labrum.

There is no evident bony discontinuity.
The posterior lip is intact.
There is also some focal intermediate signal abnormality in the supraspinatus tendon.
The overkying subacromio-subdeltoid bursa however does not show any evident fluid effusion.

The acromio-clavicular joint shows no evident osteophyte formation.
The supraspinatus muscle belly is not retracted.
The Infraspinatus, teres minor and subscapularis are normal.

IMPRESSION: Above consistent with Hill-Sach's fracture with accompanying anterior labral tear.
Superimposed minimal supraspinatus tendinosis likewise seen.

Please help me understand this and what is the treatment for this. Is operation necessary? I am afraid of cuts and needles. wahhaha.

Thanks,

Ryan

[kerry47]

Hello Friends.......

Supraspinatus tendinosis (tendonitis) is the inflammation of the small rotator cuff tendon (there are four of them) on top of the shoulder near the end of the collar bone. The supraspinatus tendon is the one most associated with a shoulder impingment, where the tendon is too inflamed to comfortably pass between the top of the humerus and acromion bones.

Thanks