MSK Shoulder MRI Case Review w/ Dr. Stephen Pomeranz | 68 Year Old Male Golfer w/ Pain | MRI Online
What is the cause of decreased range of motion in this shoulder? History: 68 Year Old Male Golfer with Pain for a Month!
Review this radiology case for free side by side with Dr. Stephen Pomeranz.
Transcript:
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There's a 68-year-old male. 68.
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Pain for a month.
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Do 68-year-olds get instability?
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Are they moving their arm enough to get it?
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Of course, they are.
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This patient plays golf and he's got pain
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in the mid to latter portion of his golf swing,
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and he's got good reason for it.
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The first thing you do is you look at the anatomy on T1-weighted
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bone fat weighted sequence.
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and you see the patient has a goatee or a goat-beard deformity.
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There's glenohumeral arthropathy.
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This patient complains of inability to complete his golf swing.
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His back swing is diminished.
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His follow-through is diminished.
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So in some respects, he's got decreased range of motion. Why?
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This spur is inhibiting his range of motion.
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So, it is not uncommon
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for you to hear, especially in middle-aged patients
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or in individuals who are young and are guarding the shoulder,
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that even though they have instability, they have decreased range of motion.
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This is a very counterintuitive clinical concept.
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Let's look at the sequela
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of this patient's instability on MR imaging.
