Wk 1, Case 2 - Review

Patient History
25 year-old female with right shoulder pain and decreased range of motion for 7 years. History of labral repair 8 years prior.

Findings
ROTATOR CUFF: Mild supraspinatus and infraspinatus tendinosis without macrotear. Normal subscapularis.

SUBACROMIAL/SUBDELTOID BURSA: Subacromial-subdeltoid peritendinitis surrounding a 1.3 cm signal hypointensity at the anterodistal supraspinatus tendon compatible with calcific tendinitis or hydroxyapatite deposition disease-so called HADD.

MUSCLES (ROTATOR CUFF/DELTOID, TRAPEZIUS, PECTORALIS): No muscle atrophy or tear.

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

AC JOINT: Mild acromioclavicular arthropathy without separation or medial arch stenosis.

CORACOCLAVICULAR LIGAMENTS: Normal coracoclavicular ligaments.

SUBACROMIAL ARCH/OUTLET: No lateral arch stenosis.

SUBCORACOID ARCH: No subcoracoid stenosis.

GLENOHUMERAL JOINT: Normal glenohumeral joint without adhesive capsulitis, erosion, or spur.

GLENOID LABRUM: Normal glenoid labrum without tear or cyst.

BONES: Normal without contusion or fracture.

SUBCUTANEOUS SOFT TISSUES: Normal without soft tissue swelling or mass.

AXILLA: Normal without lymphadenopathy or vascular abnormality.

Impressions
1. Calcific tendinitis or hydroxyapatite deposition disease-HADD at the bursal distal surface of the far anterior supraspinatus, surrounded by mild peritendinitis and mild underlying tendinosis, no rotator cuff tear. No internal derangement.
2. Mild acromioclavicular joint arthropathy.