49-year-old male weightlifter experiencing instability
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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.
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