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Wk 3, Case 5 - Review

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Report

Patient History
25-year-old female with left shoulder pain after injury while reaching above head.

Findings
ROTATOR CUFF: Supraspinatus, infraspinatus, teres minor, subscapularis and biceps as well as its labral anchor complex are intact.

SUBACROMIAL/SUBDELTOID BURSA: Normal.

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

BICEPS TENDON: Normal.

AC JOINT: Mildly inflamed.

CORACOCLAVICULAR LIGAMENTS: Normal.

SUBACROMIAL ARCH/OUTLET: Normal.

SUBCORACOID ARCH: Normal.

GLENOHUMERAL JOINT: Normal.

GLENOID LABRUM: Abnormal. Extending from anterior to posterior is linear signal intensity that propagates into the posterior quadrant of the shoulder where none should be. On some coronal slices, the labral penetration is full depth, but on the majority, it is partial depth. Linear shape and location compatible with SLAP 2C. Some anterosuperior extension is highlighted.

BONES: Normal.

SUBCUTANEOUS SOFT TISSUES: Normal.

AXILLA: Normal.

Impressions
SLAP 2C with anterosuperior extension.

Case Discussion

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Jenny T Bencardino, MD

Vice-Chair, Academic Affairs Department of Radiology

Montefiore Radiology

Edward Smitaman, MD

Clinical Associate Professor

University of California San Diego

Todd D. Greenberg, MD

Radiologist

ProScan

Tags

Shoulder

Musculoskeletal (MSK)

MRI

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