Wk 5, Case 2 - Review

Patient History
17-year-old male with right shoulder pain and decreased range of motion after sliding into a base during a baseball game.

Findings
ROTATOR CUFF: Supraspinatus, infraspinatus, teres minor, biceps, and subscapularis are normal.

SUBACROMIAL/SUBDELTOID BURSA: Normal.

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

BICEPS TENDON: Normal with preservation of the biceps labral anchor.

AC JOINT: Normal for age.

CORACOCLAVICULAR LIGAMENTS: Normal.

SUBACROMIAL ARCH/OUTLET: Normal.

SUBCORACOID ARCH: Normal.

GLENOHUMERAL JOINT: Normal.

GLENOID LABRUM: Abnormal. Extending from posterior to anterior is a linear area of signal alteration this punctuated by 1.2 x 0.8 cm paralabral pseudocyst extending in the rotator interval (series 5101, image number 5, series 901, image number 5, series 1601, image number 5). Anterior inferior extension is best seen on the MR arthrogram.

BONES: Normal. No Hill-Sachs lesion.

SUBCUTANEOUS SOFT TISSUES: Normal.

AXILLA: Normal.

Impressions
SLAP 5 with posterior to anterior superior labral involvement, large pseudocyst in the rotator interval, and anterior inferior extension.