Wk 2, Case 1 - Review

Patient History
40-year-old male with shoulder pain and concern for labral or rotator cuff pathology.

Findings
ROTATOR CUFF: Normal. Supraspinatus, infraspinatus, subscapularis and capsular components of the rotator cuff complex are normal.

SUBACROMIAL/SUBDELTOID BURSA: Normal

MUSCLES: Normal muscularity for age. No atrophy. No volumetric volume loss.

BICEPS TENDON: Intrinsically normal, but the extraarticular biceps sheath, which is synovial-lined, is diffusely swollen compatible with tenosynovitis.

AC JOINT: Normal. No signs of separation or ligamentous injury.

CORACOCLAVICULAR LIGAMENTS: Normal conoid and trapezoid ligaments.

SUBACROMIAL ARCH/OUTLET: Normal. No stenosis. No indirect signs of impingement.

SUBCORACOID ARCH: Normal. No stenosis. No displacement of the biceps pulley-anchor complex.

GLENOHUMERAL JOINT: Normal. No decentering. Normal conformity.

GLENOID LABRUM: Normal. No SLAP lesions.

SKELETON: Normal conformity. No bone lesions. No skeletal masses.

SUBCUTANEOUS SOFT TISSUES: Diffuse swelling about the biceps long head predominantly involving the tenosynovial cyst sheath of such.

AXILLA: Normal. No adenopathy.

Impressions
Diffuse swelling of the extraarticular synovial-lined biceps sheath compatible with biceps tenosynovitis.