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Wk 5, Case 4, Shoulder MR - Review

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Report

Patient History

Clinical concern for labral lesion

Findings

ROTATOR CUFF: No tendinosis or tears. Normal muscle girdle.

SUBACROMIAL/SUBDELTOID BURSA:No bursitis.

MUSCLES (ROTATOR CUFF/DELTOID, TRAPEZIUS, PECTORALIS): Normal muscle girdle.

BICEPS TENDON: Intact.

AC JOINT: Intact.

CORACOCLAVICULAR LIGAMENTS: Normal.

SUBACROMIAL ARCH/OUTLET: Type 2/curved acromion without downsloping.

SUBCORACOID ARCH: Normal. No narrowing.

GLENOHUMERAL JOINT: No arthropathy. Trace effusion.

GLENOID LABRUM: Stripping of the anteroinferior labrum involving the 3-6 o'clock positions. No Bankart lesions.

BONES: No intramedullary lesions. No fracture or dislocations.

SUBCUTANEOUS SOFT TISSUES: Focal tear at the humeral insertion of the axillary and anterior bands of the inferior glenohumeral ligament (IGHL). Stripping of the middle glenohumeral ligament (MGHL).

AXILLA: Mild inflammatory changes at the axillary pouch. No space-occupying lesions.

Impressions

1. Focal tears at the humeral attachment of the anterior and axillary bands of the inferior glenohumeral ligament (HAGL). No avulsion fractures are identified.

2. Stripping without displacement of the anteroinferior labrum. No paralabral cysts.

Case Discussion

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Gitanjali Bajaj, MD

Assistant Professor

University of Arkansas for Medical Sciences

Edward Smitaman, MD

Clinical Associate Professor

University of California San Diego

Brian Y. Chan, MD

Assistant Professor of Musculoskeletal Radiology

University of Utah

Tags

Shoulder

Musculoskeletal (MSK)

MRI

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