second surgery Shoulder impingement

[2ndsurgery]

Hi,
I had surgery  for a torn rotator cuff, impingement, torn bicep tendon and the removal of part of collar bone. That was May 5th 2010, and i was just informed that the surgery was not successful for one reason or another ( Not sure?). The last evaluation suggested that i have an impingement again and they are wanting to do another injection along with a dye MRI, and  due to the findings there is a 90% chance i'm looking at having to have the surgery preformed again . Does anyone know what  would have caused the first surgery to not be successful? Is a second surgery a wise choice at this point? I'm not sure if i want to go through this again.
  
Thanks to any responders on this .

[sara_eagle]

Well, going back to work so soon is pretty common for work comp cases but it needs to be on light duty...as in, NO use of the surgical arm.  You should have been immoblilized for at least six weeks except for physical therapy.  It's possible that it never healed correctly if they had you doing too much at work after surgery.  If I were you, I would get another MRarthrogram to find out what is going on in the shoulder.  At least then you will know.  Definitely get a second opinion from another surgeon!  

Best of luck!!

[2ndsurgery]

Sara,
Thanks for the reply,  This is a very long story so i will try  to make it short and straight to the point :). Well i had a very physical job, the first injury happened when i was unloading a truck and was pulling a heavy box down from above my head, my figures got stuck  on the handle of the box  and my arm was yanked down from a straight up position with approx 40lb box.
       I was sent back to work a week after surgery, on light duty if that what you want to call it. Four months after surgery i had 7 pieces of peg board fall on the same surgical arm, beside busing they did not find any new damage to the arm. My arm has not felt right sense i had the surgery but  the Doc keep telling me that it just takes time and it will take a good year to  feel better. I have been patiently waiting for my year anniversary which is May 5th 2011 . Was evaluated again yesterday for 2nd opinion, and with the symptoms i have and the pain i still have, unstable shoulder, painful movements ect , ect  this doctors said he feels strongly that there is still damage in the shoulder and that the 1st surgery was not successful or  that 2nd injury to the same arm has cause me problems , not sure what happened at this point.
   But i think my question is , is this common for a 1st surgery to not be successful or to have complications?
    This doctor wants me to been seen by a different surgeon.

Thanks

[sara_eagle]

It could be that they didn't take off enough of the clavicle or perhaps your rotator cuff didn't heal properly.  What types of activity to you participate in?  Also, how did you tear your RTC the first time?  The MRarthrogram will evaluate whether or not you have a RTC tear and the cortison injection with either give you some relief of bursitis which is a big cause of subacromial impingement or it won't give you relief which will tell you Dr. that the problem isn't inflammation, which cortisone treats.  Good luck!