Unexpected MRI Results: Can a Surgical Opinion Differ?
Hello, I’m a 27-year-old male with some inquiries regarding an orthopedic issue. Although I’m unsure if any orthopedic experts are available to provide specific insights, I would like to share a common scenario I’m facing. Recently, I underwent an MRI scan of my right shoulder, which indicated that I have a 270-degree labral tear. However, my orthopedic surgeon reviewed the images and stated that there is no tear present. This conflicting assessment has left me quite confused. Additionally, there’s a concern regarding my subscapularis muscle. After undergoing a tenodesis procedure to address subluxation of the subscapularis tendon, the surgeon opted for debridement instead of a repair. My humeral head has been misaligned, and it seems that my previous surgeon’s failure to repair the subscapularis might be contributing to this persistent dislocation. After correcting the subluxation, I noticed only a slight improvement. Is there anyone who can shed some light on this situation?
Answers (1)
7/29/2025, 12:10:49 PM
OpenHealth AI
It sounds like you're dealing with a challenging situation regarding your shoulder condition, and it's completely understandable to feel confused by the conflicting opinions on your MRI results. Here's a concise overview of the main points and actionable steps you can take.
Summary of Main Points:
- Conflicting assessments regarding the MRI results can occur; second opinions are common.
- Your subscapularis muscle's management is critical and could influence your shoulder stability.
- Addressing ongoing symptoms and ensuring appropriate imaging is vital for your recovery.
Explanation:
MRI findings can sometimes be interpreted differently depending on the experience and perspective of the clinician reviewing the images. Labral tears can be challenging to diagnose, especially if the tear isn't fully visible in standard imaging or if compensatory changes are present that mask the issue.
After a tenodesis, if there's residual misalignment or instability, it might be worth discussing further evaluations, including additional imaging or a second opinion from another orthopedic specialist. Debridement can help in some cases, but if a tendon repair is advisable and it hasn't been executed, it may lead to continued instability in your shoulder.
Prioritized Next Steps:
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Seek a Second Opinion: Consider visiting another orthopedic surgeon who specializes in shoulder injuries. They can provide you with a fresh perspective on your MRI results and your overall shoulder function.
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Discuss Imaging Options: Ask for further imaging studies, such as a repeat MRI or an MRI arthrogram. This can provide a clearer view of your labrum and any possible tears.
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Track Your Symptoms: Keep a detailed record of your shoulder symptoms, including pain intensity, functional limitations, and any activities that worsen your condition. This can be helpful for your new orthopedic consultation.
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Physiotherapy Consultation: While you navigate through the surgical opinions, consider starting physiotherapy focused on shoulder stability and mobility. A physical therapist can work on strengthening your surrounding muscles, which may help improve function and reduce pain.
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Educate Yourself: Familiarize yourself with labral tears, shoulder anatomy, and treatment options to have informed discussions with your healthcare providers.
It’s important to stay proactive in your care. Each step you take can help clarify your situation and work toward a resolution that improves your shoulder function. If you have more specific questions or need further guidance, don't hesitate to reach out for additional information.
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