Heterotopic Ossification - Shoulder

[kachingchingpow]

In January, my son and I were in a very bad motorcycle accident. We were t-boned by a young girl in a Volkswagon.

The impact occurred on the right side, and of course I went sailing about 50 feet to the left. Evidently when I came down, I must have not performed a proper PLF and landed such that I ripped my left shoulder to shreds. The EMT's put it back into place at the scene, but it came back out when I rolled onto it in the ICU. A day or so later they scoped it and then performed an open "massive" rotator cuff repair.

I don't have all the particulars in front of me regarding exactly what was done, other than I know that I now have 4 screws and a bunch of nylon line holding everything back in place. The Dr. had me in a sling for 3 months. I started passive PT at 2 months, and full ROM PT at 3. His remarks were that the shoulder basically looked like a bomb went off inside, and that he rarely see's them this bad. Certainly only in high impact trauma.

It's been about a month now since I started heavy PT, and haven't seen a ton of improvement in my external rotation, abduction, or elevation. At my last visit, my Dr. explained that "heterotopic ossification" is visible, and that I'm going to have some stiffness to deal with. Of course at this point, he became a little more conservative in terms of making a prognosis, and I really didn't know what questions to ask either.

Just curious if anyone here know's how well this condition will respond to ongoing PT, and at what point do I begin inquiring about more surgery. If surgery is an option, can someone explain what's involved with it, and what can generally be expected afterwards? Is it an open procedure, or scope? What questions should I be asking my osteo?

Thanks for your time and assistance.

C