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Shoulder AC tear -- should I repairer not?

post #1 of 8
Thread Starter 

I suffered a 3rd degree AC tear on my right shoulder a couple of weeks ago.  We thought there might be RC damage as well but the MRI shows that is OK.  Speaking with my oath today he told me I can either have surgery to repair or leave it as is.  He advised that a lot of people dont get it repaired without any real issues.  Not sure if I want to leave it like that, my gut tells m it would be better fixed - but even though I have stayed at a holiday inn I am not any sort of expert ion this.

 

So, question is, any of you out there with experience of this

(a) being repaired

(b) leaving it as is

 

Oh, and I am 60 y/o

post #2 of 8

Tough call.  Will the doc doing the repair make it better or worse (always a risk)?

Maybe get a secnd and third opinion, then go with two out of three.

 

As to your question:

My latest AC separation (about 3 cm separation, all three ligaments torn) seems to be doing ok with just physiotherapy.

 

Previous injury (crushed glenoid, fractured clavicle, cracked scaphoid), healed a little crooked with a bit of limitation in range of motion (now improved due to recent injury - every cloud has a silver lining:)). 

post #3 of 8
A friend of mine has both shoulders with problems (construction work) he has not had the done because it would put him off work too long. However he can't get his arms above his shoulders.

Personal, it's a matter of risk vs drive for recovery. 60 your still able to heal and see benefits if that is the goal with lesser risk of of future (or immediate limitations).

Hope it gets better,

Cheers,

G
post #4 of 8
Thread Starter 
Quote:
Originally Posted by Ghost View Post
 

Tough call.  Will the doc doing the repair make it better or worse (always a risk)?

Maybe get a secnd and third opinion, then go with two out of three.

 

As to your question:

My latest AC separation (about 3 cm separation, all three ligaments torn) seems to be doing ok with just physiotherapy.

 

Previous injury (crushed glenoid, fractured clavicle, cracked scaphoid), healed a little crooked with a bit of limitation in range of motion (now improved due to recent injury - every cloud has a silver lining:)). 


Good point Ghost.  I have an excellent ortho here (he has already done one RC and my smashed wrist) so trust him completely to do this.  One of the advantages of living in Tahoe, some of the best sports medicine guys around.

 

Quote:
Originally Posted by oldschoolskier View Post

A friend of mine has both shoulders with problems (construction work) he has not had the done because it would put him off work too long. However he can't get his arms above his shoulders.

Personal, it's a matter of risk vs drive for recovery. 60 your still able to heal and see benefits if that is the goal with lesser risk of of future (or immediate limitations).

Hope it gets better,

Cheers,

G


Thanks G.  Recovery time is not too bad according to the doc, maybe 4 weeks and then another 3-4 before I am skiing seriously

post #5 of 8

Had the same injury on right shoulder also, when I was in my mid-40s, due to fall at high speed at Copper.  Had that same conversation with my ortho.  After he pointed out the surgery, on average, has an 80% success rate, and a 100% chance of being completely out of commission, with a sling, for 10-12 weeks, I opted out of the surgery and to rehab via P/T and shoulder workouts. The only time I regret that decision is when attractive women at the beach ask why my shoulder looks so funny.  Otherwise, shoulder is stronger than before, certainly better than my left shoulder, with little to no mobility impairment and no lingering pain.  I did re-injure it in a bike fall two years ago, but recovery from that has been full, and not affected by earlier AC tear.  So, while I'm not your doc or knowledgeable about your specific situation, my vote would be to avoid the surgery.

post #6 of 8
Quote:
Originally Posted by ScotsSkier View Post
 
Quote:
Originally Posted by Ghost View Post
 

Tough call.  Will the doc doing the repair make it better or worse (always a risk)?

Maybe get a secnd and third opinion, then go with two out of three.

 

As to your question:

My latest AC separation (about 3 cm separation, all three ligaments torn) seems to be doing ok with just physiotherapy.

 

Previous injury (crushed glenoid, fractured clavicle, cracked scaphoid), healed a little crooked with a bit of limitation in range of motion (now improved due to recent injury - every cloud has a silver lining:)). 


Good point Ghost.  I have an excellent ortho here (he has already done one RC and my smashed wrist) so trust him completely to do this.  One of the advantages of living in Tahoe, some of the best sports medicine guys around.

In that case (You are too lucky!  It's not fair:hopmad:), force your ortho to make a definite decision (if he were a skier with your injury, what would he do?), and follow his advice.

post #7 of 8

Don't bother.  Just quit skiing and send me all your sweet gear..:newkeyboard:  We're even roughly the same boot size..

 

Seriously though, really sorry you got hurt.  Sucks at our age and takes a LOT longer to heal, if we can heal at all.  Good news that it isn't as bad as it could have been.  I would say the cut/no cut call depends on how competitive you would like to be going forward.  I know you race at some levels and seemed pretty serious about it the past couple seasons.  It's up to you as to how far you want to keep going there.  If you're in it 100% go for the surgery.  If you just do it for fun wait and see how far you can push things without the surgery first.

 

Get well soon either way.  I'd rather you keep the gear so I might get to ski with you someday in the future.  Keep us posted..


Edited by crgildart - 9/4/15 at 9:31am
post #8 of 8
Thread Starter 
Update. Well, I took some time to consider and also skied down in chile wth it taped up without too many issues. However, while not limiting me too much it has continued to be a nagging pain and was also spreading up my neck muscles. So, after discussion with ortho, decided to get it fixed. Had the surgery yesterday so will be in sling for next 4 weeks but should still be on snow by December.

I raised the concern about the lower success rate mentioned above but was assured that it is now much more effective and closer to 100

Thanks for all the input Team!
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EpicSki › The Barking Bear Forums › Ski Training and Pro Forums › Fitness, Health, Nutrition, Injury, and Recovery › Shoulder AC tear -- should I repairer not?