Wk 1, Case 1 - Review

Patient History
15 year-old male with right shoulder pain and decreased range of motion after wrestling injury.

Findings
ROTATOR CUFF: Mild swelling of the myotendinous junction of the teres minor. Normal supraspinatus, infraspinatus and subscapularis.

SUBACROMIAL/SUBDELTOID BURSA: Mild subacromial-subdeltoid peritendinitis.

MUSCLES (ROTATOR CUFF/DELTOID, TRAPEZIUS, PECTORALIS): No volume loss or fibrofatty infiltration of the rotator cuff components.

BICEPS TENDON: Normal long head biceps tendon without dislocation, thickening, tear.

AC JOINT: Normal acromioclavicular joint without separation or offset. No medial arch stenosis.

CORACOCLAVICULAR LIGAMENTS: Normal coracoclavicular ligaments.

SUBACROMIAL ARCH/OUTLET: Posterolaterally tilted convex undersurface acromion without lateral arch stenosis.

SUBCORACOID ARCH: No subcoracoid stenosis.
GLENOHUMERAL JOINT: Normal glenohumeral joint cartilage. Small glenohumeral effusion. No Hill-Sachs or Bankart injury. No avulsion of the glenohumeral ligaments or capsular rupture.

GLENOID LABRUM: No labral tear.

BONES: No macrofracture; mild bone edema within the greater tuberosity of the humerus. No physeal injury.

SUBCUTANEOUS SOFT TISSUES: No soft tissue swelling or mass.

AXILLA: No adenopathy.

Impressions
1. Mild myotendinous junction strain of the teres minor, without tear or atrophy. No quadrilateral space mass.

2. Mild osseous edema within the greater tuberosity of the humerus, no macrofracture. 3. Non adhesive glenohumeral capsulitis/small effusion. No findings to suggest dislocation.