25-year-old male pain when swinging arm
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Shoulder pain injured while swinging the arm.
Long- and short-axis fat- and water-weighted images were performed.
- Rotator Cuff:
- No evidence of tear partial or full-thickness.
- AC Joint:
- Mildly inflamed but no arthropathic. Small amount of capsular fluid.
- Arches:
- Scant bursal fluid in the subacromial arch.
- Medial Arch:
- Unremarkable.
- Coracoid Arch:
- Unremarkable.
- Articular:
- Capsular fluid increased although still mild.
- Posterior synechiae.
- Articular/Glenoid:
- Equivocal or subtended pattern of edema in the posterosuperior humeral head without deformity is associated with a partial rim tear as either glenoid articulation rim divot and/or glenolabral articular disruption so called partial undersurface rim tear. No labral displacement identified.
- Superior and inferior labra are unremarkable. Other differential diagnosis for a partial tear would be a Perthes-type lesion.
- Superior Glenohumeral Ligament:
- Normal.
- Middle Glenohumeral Ligament:
- Suspect insertional sprain.
- Inferior Glenohumeral Ligament:
- Normal.
- Coracoclavicular Ligaments:
- Normal.
- Rotator Intervals:
- Normal.
- Muscles:
- Normal.
- Nonvascular Bundle:
- Normal.
Extremely subtle pattern of capsular effusion/fluid partial nondisplaced labral injury as either a combination of GLAD and/or GARD lesion versus Perthes lesion. Please see the body of the report for additional pertinent negative findings on the accompanying and closed montage.
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