Forums: Climbing Information: Injury Treatment and Prevention: Re: [onceahardman] Supraspinatus Injury-Conflicting Advice: Edit Log


Oct 20, 2013, 4:37 AM

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Registered: Nov 14, 2005
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Re: [onceahardman] Supraspinatus Injury-Conflicting Advice
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Thanks for your comments onceahardman. Smile

onceahardman wrote:
Not to get defensive, but supraspinatus originates from the supraspinous fossa, which is located on the scapula.

Quite true. And my comments were not meant to denigrate physiotherapists, one physiotherapist was a friend the other was my sister. They both did a better job than the doctors who simply X-Rayed it and said it wasn't broken or dislocated.

onceahardman wrote:
A fractured scapula does not rule out supraspinatus pathology. In fact, it would probably be expected.

In the USA, PTs cannot directly order x-rays or MRIs. Only MDs or DOs can do that. Without imaging, diagnosis of fracture is pretty difficult.
Following the comments of the physios, combined with the strong pain and lack of mobility I contacted a shoulder surgeon who was the father of a friend of mine. I got the MRI order from him.

The fracture was good news. As you probably know bones breaks normally heal better than badly torn ligaments and tendons. Following 6 weeks rest it was back to normal.

onceahardman wrote:
A fracture occuring during a static move is very unusual. I'd suspect osteopenia or worse. I hope you have no such problems. Are you certain you had no direct trauma, like a bouldering fall, before the final injury?
Absolutely certain. I am aware how bizarre the injury was. I was going to ask for a bone density check but I was advised that this was unnecessary given my age and health.

I was quite stretched and over trained from the previous day and I have little doubt that this contributed to the injury. However there had been no falls or anything. At the time of the injury I heard and felt the pop.

Since this injury I have broken a hand (mountain biking big crash) and a toe (biking topple in sandals resulting in dislocation)

(This post was edited by patto on Oct 20, 2013, 4:39 AM)

Edit Log:
Post edited by patto () on Oct 20, 2013, 4:39 AM

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