Anyone ride/race after a reverse shoulder replacement or torn supraspinatus & LH biceps tendon rupture??

Joko wrote:

Having the MRI this coming week. At orthopedic visit, Dr took X-rays, physical exam, and resistance tests in various planes and concluded that the Supraspinatus was...

Having the MRI this coming week. At orthopedic visit, Dr took X-rays, physical exam, and resistance tests in various planes and concluded that the Supraspinatus was fully torn, since the humerous ball was moved upward and no gap existed, an indentation on the rear side of the shoulder surface supposedly indicative of a retracted supraspinatus. I’m 60, and hope to continue to keep riding for many more years if possible. 

flmotogoon wrote:

Hey Joko so just my 2 cents not a doctor.. once you get the MRI your surgeon will have a much better idea about whether or...

Hey Joko so just my 2 cents not a doctor.. once you get the MRI your surgeon will have a much better idea about whether or not a repair is possible, without the study it’s somewhat of a blind guess as to what can be done. I would then suggest you get at least a 2nd opinion from a reputable surgeon who specializes in shoulder arthroscopy. If you’re an active guy who likes to do high impact activities like Mx, mtb, lifting heavy weights, etc I would think of reverse as a last resort option that can likely resolve your pain and give you pretty good function for most normal activities, but will never be as strong or flexible as your native shoulder and as others have stated if it gets messed up at some point can be a big problem to fix it. If your cuff is repairable then a successful repair would likely be able to return you to your pre injury function but will require several months of rehab to regain your range of motion and then strength after the surgery and the rehab will likely be painful. Also there is always a chance of a retear which you can do your best to mitigate by staying up on keeping the rotator cuff and shoulder strong and flexible.

My question to you would be why are you considering surgery, is it because of pain or not able to do the things you want to do, or both? Also have you had any therapy or injections?

ibpassngas wrote:

This is the correct advice.Yes I have a reverse total shoulder replacement.  Yes I still ride my KX450 as fast as I like without issue.  However...

This is the correct advice.

Yes I have a reverse total shoulder replacement.  Yes I still ride my KX450 as fast as I like without issue.  However, no racing stuff, I choose much gentler tracks purposely, and my shoulder is very sore afterwards.

If you are considering a reverse total shoulder (or any total shoulder) my advice is DON’T DO IT.  Always get second opinion on cuff tear repair options.  Joint replacement path is big surgery, does not give you a strong or flexible shoulder, has a lot of complication risks, and should be a last resort option (level 10 pain!).  The reverse joint I have took four tries to get a successful outcome.
 

Joko wrote:

Having the MRI this coming week. At orthopedic visit, Dr took X-rays, physical exam, and resistance tests in various planes and concluded that the Supraspinatus was...

Having the MRI this coming week. At orthopedic visit, Dr took X-rays, physical exam, and resistance tests in various planes and concluded that the Supraspinatus was fully torn, since the humerous ball was moved upward and no gap existed, an indentation on the rear side of the shoulder surface supposedly indicative of a retracted supraspinatus. I’m 60, and hope to continue to keep riding for many more years if possible. 

flmotogoon wrote:

Hey Joko so just my 2 cents not a doctor.. once you get the MRI your surgeon will have a much better idea about whether or...

Hey Joko so just my 2 cents not a doctor.. once you get the MRI your surgeon will have a much better idea about whether or not a repair is possible, without the study it’s somewhat of a blind guess as to what can be done. I would then suggest you get at least a 2nd opinion from a reputable surgeon who specializes in shoulder arthroscopy. If you’re an active guy who likes to do high impact activities like Mx, mtb, lifting heavy weights, etc I would think of reverse as a last resort option that can likely resolve your pain and give you pretty good function for most normal activities, but will never be as strong or flexible as your native shoulder and as others have stated if it gets messed up at some point can be a big problem to fix it. If your cuff is repairable then a successful repair would likely be able to return you to your pre injury function but will require several months of rehab to regain your range of motion and then strength after the surgery and the rehab will likely be painful. Also there is always a chance of a retear which you can do your best to mitigate by staying up on keeping the rotator cuff and shoulder strong and flexible.

My question to you would be why are you considering surgery, is it because of pain or not able to do the things you want to do, or both? Also have you had any therapy or injections?

Joko wrote:

The pain is not bad, maybe a 1-2 out of 10. Some days it feels pretty good.  I’m concerned about a potential dislocation if I continue...

The pain is not bad, maybe a 1-2 out of 10. Some days it feels pretty good.  I’m concerned about a potential dislocation if I continue to ride, causing further damage and a crash. I also like to keep up with moderate weight lifting for fitness, and concerned without that supraspinatus tendon I would further damage over time, joint wear & arthritis … I’ve been doing PT on my own with exercise direction, seems to slowly improve. No injections yet. You’re right, once the MRI results come back I can decide if the repair is possible; if so I’m leaning going that route instead of a replacement. If not repairable, maybe leaving it alone and using those braces recommended for activities could work…

flmotogoon wrote:

Hey Joko so just my 2 cents not a doctor.. once you get the MRI your surgeon will have a much better idea about whether or...

Hey Joko so just my 2 cents not a doctor.. once you get the MRI your surgeon will have a much better idea about whether or not a repair is possible, without the study it’s somewhat of a blind guess as to what can be done. I would then suggest you get at least a 2nd opinion from a reputable surgeon who specializes in shoulder arthroscopy. If you’re an active guy who likes to do high impact activities like Mx, mtb, lifting heavy weights, etc I would think of reverse as a last resort option that can likely resolve your pain and give you pretty good function for most normal activities, but will never be as strong or flexible as your native shoulder and as others have stated if it gets messed up at some point can be a big problem to fix it. If your cuff is repairable then a successful repair would likely be able to return you to your pre injury function but will require several months of rehab to regain your range of motion and then strength after the surgery and the rehab will likely be painful. Also there is always a chance of a retear which you can do your best to mitigate by staying up on keeping the rotator cuff and shoulder strong and flexible.

My question to you would be why are you considering surgery, is it because of pain or not able to do the things you want to do, or both? Also have you had any therapy or injections?

ibpassngas wrote:

This is the correct advice.Yes I have a reverse total shoulder replacement.  Yes I still ride my KX450 as fast as I like without issue.  However...

This is the correct advice.

Yes I have a reverse total shoulder replacement.  Yes I still ride my KX450 as fast as I like without issue.  However, no racing stuff, I choose much gentler tracks purposely, and my shoulder is very sore afterwards.

If you are considering a reverse total shoulder (or any total shoulder) my advice is DON’T DO IT.  Always get second opinion on cuff tear repair options.  Joint replacement path is big surgery, does not give you a strong or flexible shoulder, has a lot of complication risks, and should be a last resort option (level 10 pain!).  The reverse joint I have took four tries to get a successful outcome.
 

Darrin Willis wrote:

If your First surgery was successful would you still have this opinion? I have a few months to decide . As I said before I feel...

If your First surgery was successful would you still have this opinion? I have a few months to decide . As I said before I feel like I'm gonna get to a pretty decent place without the surgery.  With the exception of range of motion. After reading these posts im beginning to think I should wait till im no longer skiing or riding before getting the reverse.  If at all.The physio guy I see works with several recipients of the reverse and says they are quite satisfied.  Im beginning to think that maybe these people aren't as active as I am and likely don't rail berms and ski double black diamonds.

Joko wrote:

Weighing the possibility of a reverse shoulder replacement to correct a fully torn irrepairable supraspinatus rotator cuff tendon.

Anyone have any experience with it? 
Thanks!