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Discussion Topic: Inconclusive results of MRI
Anthony Petrella added to this discussion on July 23, 2009

I had an mri on my shoulder. i was told that my labrum was torn from 12 clockwise to 7, and all my ligaments were torn. i had my surgery yesterday. it was an hour and a half surgery; the surgery was scheduled from 845-1045 but i woke up at 1150. the doctor told me that my labrum was torn all the way around and that i tore my bicep tendon. can anyone tell me how this could be missed



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Discussion Topic: Inconclusive results of MRI
Anthony Petrella added to this discussion on July 23, 2009

i hurt my shoulder 3 months ago. i wrestled with it for 2 months. it was uncomfortable but didn't hurt. how could it be that bad and not painful



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Discussion Topic: Inconclusive results of MRI
Marlo Stanfield added to this discussion on July 23, 2009

R U having a conversation with URself? R U that bored?



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Discussion Topic: Inconclusive results of MRI
Anthony Petrella added to this discussion on July 23, 2009

no, i was just adding more info and i forgot to just edit the last statement i made haha



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Discussion Topic: Inconclusive results of MRI
Eric Jaynes added to this discussion on July 23, 2009

When you completely tear a tendon you no longer have pain because the tear is complete thus you no longer have the nerve (in this case the musculoskeletal nerve) connected to supply sensation.



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Discussion Topic: Inconclusive results of MRI
Hank Kornblut added to this discussion on July 24, 2009

Anthony: I don't know how the MRI could have missed the extent of your injuries but it's certainly not an unheard of occurence. Hope your recovery goes well.



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Discussion Topic: Inconclusive results of MRI
Patrick Campbell added to this discussion on July 24, 2009

Quote from Hank Kornblut's post:

"Anthony: I don't know how the MRI could have missed the extent of your injuries but it's certainly not an unheard of occurence. Hope your recovery goes well."



I order MRIs on my surgical patients all of the time. You have to remember that MRI gives you images of small slices through several planes of the body part you are imaging. Even though there are a lot of slices, not everything is fully imaged. It is also important to remember that those slices are not symmetrical the way you think they should be. The shoulder has lots of curves and contour. Some of the information that needs to be interpreted falls between slices and some of the needed info is scattered across multiple image slices. MRI is great, but not always perfect. I can tell you from experience, every surgeon gets intraoperative surprises that are not noted on MRI.



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Discussion Topic: Inconclusive results of MRI
Gary Sommers added to this discussion on July 24, 2009

I know my upper extremity surgeon prefers ultrasounds to MRIs.



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Discussion Topic: Inconclusive results of MRI
Patrick Campbell added to this discussion on July 24, 2009

Quote from Gary Sommers's post:

"I know my upper extremity surgeon prefers ultrasounds to MRIs."



I do musculoskeletal ultrasound in my office every day. I like ultrasound because it gives you real time info and you can manipulate the probe &/or anatomy to capture the anatomy image in the plane you want. That being said, ultrasound has it's own limitation just like MRI. I often use them together.



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