Shoulder Surgery Take 2

MRI December 26
 

It would seem, 18 months after my first shoulder repari,  I needed to have shoulder surgery again. Dr. Carlini knew exactly what was wrong in December after seeing this on the MRI. My bicep tendon was tearing away from the anchor that had been inserted in September 2011.  The anchor was holding in the bone great but the tendon, it was degenerating.  I love that my doctor calls me semi pro athlete and world class masters swimmer.  But what I really love is that technology has advanced in leaps and bounds in the past 10 years and even more so in the past year.  What I had done in September 2011 was a standard SLAP repair, but now the recommendation is for athletes like myself over 35 to have the Button Bicep Tenodesis by Arthrex Technique.  
 


What looks like white fraying at the top
of the picture is my tendon torn off.
 

Even though I met with Dr. Carlini on January 2, due to a planned trip to Las Vegas in February and Brad's work travel I wasn't able to schedule the surgery until Friday, March 1.  (See a future post for Adventures in Vegas with Brad's high school friends).  During that time I was having weird twangs down my arm and sometimes little pains.  Occasionally it would get tired and just ache but mostly it was the twangs that were disturbing.  I swam a little bit but the free style arm stroke hurt so it was easier to just kick or hit the gym.  By the time I had surgery two of the three tendons had pulled away from the anchors and one had torn in half. It's amazing what two more months will do to make it worse, and I really backed off on pretty much everything.  I think this had gradually been happening over the course of 3 months before it really started hurting in Hawaii over Thanksgiving. 
 
Surgery day arrived and I was not even nervous about this one.  The day before I had subbed half a day at St. B's school, then played (and won) Bunco that night with my girlfriends.  We dropped McB at school and went to the surgery center.  I will swear part of my loosey goosey attitude was the 2nd grade praying for me and a lot of others associated with St. B's.  I figured if they had my back I could just go in and get it done.  (Much like the 200 free at Masters Nationals, ha ha).  I walked in at 8:30 and was in the wheel chair heading home at 12:20 with a nerve block that lasted 21 hours.  Always make friends with your Anesthesiologist, they keep the pain away. 
 
If you look up my procedure this is what it says: The Bio-Tenodesis Screw System was designed specifically for the reattachment of soft tissue, both ligament and tendon, to bone. The Bio-Tenodesis Driver facilitates accurate graft tensioning into a bony socket in a simple “push-in” method. The interference fit provided by the Tenodesis Screw and FiberWire virtually eliminates graft separation from the bone. Because of the strength of the repair achieved with the system, patients are generally allowed to begin postoperative rehab earlier than previously permitted. The Bio-Tenodesis Screws are composed of PLLA and are available in numerous sizes to fit all applications. There are also titanium and PEEK Tenodesis Screws available for use with the system, if desired. The system is ideal for the reattachment of soft tissue to bone in proximal/distal biceps tenodesis.


Four weeks, March 28.

First day the bandages came
off, Thursday March 7.

What my doctor said is that not only would I come back faster,  but also stronger than last time.  For me, and what kind of progress we are seeing already in physical therapy, is everything is taking half the time. 

The picture on the right is my scar one week post surgery when the bandage came off.  This one on the left is what it looked like at four weeks post surgery on Friday, March 28.

 


 

First PT appointment on March
 8.  I could do the pulley already.



More important is this picture below, from day 13-post surgery; my arm is over my head.  My movement and flexibility at that point would be considered 'book normal' by most and it's fantastic for anyone, especially less than two weeks after a major joint surgery.  My flexibility and movement is a bit more than that so I'm almost there now but to have my arm move above my head so soon, it was just amazing. I also think it is really fortunate, to be able to work with a really smart and fantastic physical therapist who stays current on new exercises and techniques. 


Day 13 and my arm is above
my head.

But what really sets Susan apart from the rest is she's known me for over six years now.  With that knowledge of how my muscles and bones work, and also how I think, she knows when and how to push me to get me back to my old form.  

Stay tuned for the next entry which will document my continued therapy and recovery.