View Full Version : glenoid repair #3

May 12th, 2005, 11:05 AM
just had the third glenoid repair since my attempted return to masters 5 yrs ago. the first was the thermacapulorraphy- heat wand, the second 3 clips to hold it, this one 4 screws to hold it. yeah-i want to swim real bad....to go thru this for it!
anyone else have a labrum repair? success? failure?
and, to any orthopedic md/swimmers out there- is there a stroke that's less likely to loosen the labrum specifically?
note- years and years of being a butterflier is great prep for surgery...post op pain still isn't as bad as the last 75 yds of a 200- plus you can breathe!

May 12th, 2005, 12:37 PM
What are you talking about?

May 12th, 2005, 12:55 PM
I have no clue what part of the body even that you are referring to.... if any???

May 12th, 2005, 01:13 PM
isn't the labrum in the shoulder?

My friend had her's fixed. It was loose and didn't hold right...I think. I know that she had surgery to fix both of them, and she's doing better now. She still can't swim for about another 2 months, and after that she has to take it slow, she'll never be at the level she was. But her overall shoulder health is better and it's not affecting any of her normal functions like it was.

Feel Better!

May 12th, 2005, 01:23 PM
it's in the capsule of the shoulder.

May 12th, 2005, 01:47 PM
The humerus/glenoid joint is similar to a golf ball and a tee. The humerus head is the golf ball and the glenoid is the tee. The labrum is a semi-encompassing piece of cartilage that helps to secure the humerus to the glenoid. The more damage that occurs to the labrum the more important your rotator cuff muscles become to maintain alignment and stability in the joint. Ideally you will have strong cuff muscles in the first place but I am learning that this is often not the way it works.

Kimberlie Streed
May 12th, 2005, 02:15 PM
Your message prompted me to actually join in the discussion rather than just reading as I've been doing. I applaud your effort at staying in the water and will soon understand better what you have been going thru. I returned to the pool this year (age 49) after 27 years of being out of the water participating in other sports: running, softball, tournament racquetball. It has been so awesome being back in the water. I didn't know how much I missed it or how much I love swimming. A little harder getting started than I thought and problems with my shoulders along the way. I thought I could just keep going and with enough exercise I could strengthen everything and get thru the pain. I also fell on my left shoulder in the parking lot at a swim meet in Feb. -- swam anyway dispite the pain and that may be what did me in. Kept swimming though even though it was getting less and less pretty. I sought medical advice early in April, a few weeks before states (IL), and was told I had a moderate size full thickness tear in my rotator cuff (death sentence for a swimmer.) Anyway, was told the damage was done and I could finish the season with the state meet if I could deal with the pain. Interesting though, there's no pain when I swim only after when I try to sleep or do anything else--so I swam. Can't tell you how much fun I had--big state meet, swam fairly well, part of a great team, lots of team spirit, etc. Soooooo much fun! So, surgery is scheduled for June 1 and the surgeon never really responded to my question about returning to the pool just some half-ass comment about baseball players' ending their careers with this type of injury. This has me somewhat in the same catagory as you. Looking for any advice on how to handle this so that I am able to return to the pool. Any orthopods or physical therapists who swim out there with any advice at all (any encouragement would be good too). I am really hoping to swim until I'm 90 or until I die, whichever comes first.

May 12th, 2005, 02:17 PM
Yeah, Kim's here! Be warned, you will become addicted! ;)

Kimberlie Streed
May 12th, 2005, 02:25 PM
Thanks Heather, I already am. Just haven't been visible.

May 12th, 2005, 04:00 PM
i hadn't heard rotator is death to swimming. in fact they are pretty repairable these days. recovery is hell, 6 wks in an immobilizer. the glenoid is more difficult. 85% of pitchers who have the rotator repaired go back, as opposed to the 3% of pitchers who have glenoid tears. so don't lose heart.
a couple of suggestions: only have an orthopedist who specializes in shoulders work on you. i have an hmo- have to travel 2 hrs to get to the only specialist- but she only does elbows and shoulders. all my docs have been specialists and it's worth insisting on. all orthos do rotators, but read below to see why you want someone who can handle the unexpected.
not to scare you but to prepare you-they may find stuff, particularly a glenoid, when they actually do the surgery. they are hard to diagnose on phys exams and can be missed on mris. swimming with an injury may be also causing smaller tears elsewhere. discuss ALL pssibilities before you go in the or.
write me before you have surgery, i'll be working then and may not check the forum. having had 4 total surgeries- also had a repair on the right one-and i have a zillion tips to make life easier. for example post op they put your immobilizer on your naked body and by day 3 you have rashes. now i give them a loose t-shirt to put on before i go in-they do it while you're still out. my email is cbf@sonic.net. good luck.

May 12th, 2005, 06:08 PM
get a bra that closes in front!!!

get the largest t-shirts you can--you put it on over the sling, stick your head thru and then the other (good) arm.

Purchase pants or shorts with elastic--you can't deal with the zippers or buttons.

Depending on which arm--learn to use the other for ALL needs.
The more pillows on the bed the better--can be used to prop you up, prop up the arm in the sling if laying on back and depending on how you sleep--can give you a feeling of sleeping on your tummy when you're really on your back!

Purchase an electic toothbrush!!!
Set out paper cups to use in the bathroom!!

Buy SMALL bottles of pop--easier to open between your knees with your good hand.

I had to use a soft pillowcase (not opened) over my back between the skin and the sling--it was really itchy!!!
Those little shoulder pads from old shirts---work really well to help pad your elbow in the sling!!! Also can be used around the thumb area to ease the pressure!!!

PM me if you'd like more. Had the thermal assisted capsular shift 8 years ago (at age 46). Was pretty much out of the water from April-July. Was allowed some VERY limited swimming in late July and that was breaststroke. Did alot of kicking on the board as soon as I was watertight and the doc said ok.

MSG--veteran of 4 shoulder surgeries on Left, 2 surgeries on Right

May 12th, 2005, 06:18 PM
darn, i feel like a novice with only 4 surgeries msg. i'm in the same age group and feel less insane that i'm still trying to swim despite age and surgeries. good tips- i second them!

Kimberlie Streed
May 12th, 2005, 06:25 PM
Is it foolish for me to think this will be my one and only surgery?

May 27th, 2005, 03:39 AM
no- you are not destined to have a shoulder immobilizer as a wardrobe accessory in every color, as i do. i'm sure it sounds scary, us with the multiple surgeries. but a lot of my problem is neglect. it was injured in college, then when i swam masters 20 years ago, i was a hard core fly swimmer- 1000-1500 yds, 6 days a week. with a shoulder that was slipping around. when i tried to make a comeback to swimming, it all kind of caught up with me and they've been sewing, clipping and now screwing me together to try to fix it all.
with a traumatic injury, versus years of chronic problems, and good physical therapy you probably won't have a problem. take it slow and supplement the swimming with good rotator cuff strengthing exercises- the "baseball" series from Kerlan-Jobe are the best- ask your doctor. Expect the recovery will be months- but the benefit is, burning off your frustration on a treadmill or elliptical trainer (with no arms) in the meanwhile will build up your kicking!