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Question:
I had surgery for an impingement on my left shoulder. I had physical therapy and work simulation. I am still having severe pain and there is a "catching" as I bring it down. I have received a second opinion in which the doctor did more x-rays and a MRI with the dye. The only thing they told me was there was tendonitis and some swelling around the clavicle bone. I was told that was normal. My shoulder was 6 months ago and now they are talking as if it is a permanent restriction for me. Is there anything they could have missed? And is swelling around the clavicle 6 months later normal?
| Dr. Bailie |
Dr. David S. Bailie chairs the Department of Orthopedic Surgery at Scottsdale Healthcare Shea (Hospital) in Scottsdale, Arizona, and he sees patients from all walks of life at The Orthopedic Clinic Association (TOCA) in Scottsdale, Arizona. A graduate of the University of Michigan, the Indiana University School of Medicine and was a post-graduate fellowship in Sports Medicine and Arthroscopic Surgery at Baylor Sports Medicine Institute in Houston, Texas. , Dr. Bailie specializes in all sports medicine injuries and arthroscopic surgery, including shoulder reconstruction.
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Answer:
Swelling around the clavicle is probably the AC joint. If that joint was partially removed (distal clavicle excision) or violated during the surgery, this can cause the click and continued pain. It is one of the most common reasons for failure of an "acromioplasty" but may require another surgery to repair. Injection of local anesthetic into the AC joint should make the better and would confirm the diagnosis. You should not have a restriction from that surgery.
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