49-year-old male weightlifter experiencing instability

EXPLORE MORE CASES EXPLORE MORE CASES Watch Video Watch Video Review Stacks Review Stacks

Decreased range of motion for one year aggravated by weight lifting.

Long- and short-axis fat- and water-weighted images were performed. 

  • Rotator cuff:
    • Intact. No tear identified. 
  • AC joint:
    • Hypertrophic with little active inflammation. Small erosions and superior spurs of moderate size consistent with the AC joint of a weight lifter. 
  • Labra:
    • Anteroinferior chronic nondislocation-type labral tear with intra- and paralabral miniscule pseudocyst formation. 
    • Superior labrum intact. 
    • Some inferior and inferoposterior extension with small paralabral pseudocysts in the posteroinferior quadrant. 
  • Articular:
    • Glenoid class 3 chondromalacia without penetration into the subchondral plate. 
  • Muscle size:
    • Normal. No fatty infiltration. 
  • Soft tissue masses:
    • None. 
  • Capsule:
    • Inflamed with effusion 1 plus. 
  • Biceps and labral anchor complex:
    • Intact. 
  • Entrapment neuropathy and axillary space:
    • Normal. 

Labral tear anteromid/inferior and inferoposterior with small multifocal paralabral pseudocysts having the configuration of an upside down SLAP lesion but nondislocation type of labral tear most likely related to chronic repetitive activity.

Case-based learning.
Perfected.

Try MRI Online Premium for free.

 

100+

Mastery Series video courses

3000+

High-yield cases

500+

Expert case reviews

Unlimited

CME & SA-CME credits

Learn from world renowned radiologists anytime,
actice on real, high-yield cases with MRI Online Premium.

Case-based learning.
Perfected.

Learn from world renowned
radiologistsanytime, anywhere and practice on real, high-yield cases with MRI Online Premium.

  • 100+ Mastery Series video courses
  • 3,000+ High-yield cases with fully scrollable DICOMs
  • 500+ Expert case reviews
  • Unlimited CME & SA-CME credits
​