Case Challenge

Shoulder

Stephen J Pomeranz

Gain confidence interpreting Shoulder MRI Cases with MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME!

Case Review

Musculoskeletal (MSK)

Case 1 - 59-year-old female presents with left shoulder pain

Case 2 - 40­-year­-old male presents with left shoulder injury

Case 3 - 53-year-old male patient presents with pain and catching of the right shoulder

Case 4 - 40-year-old female presents with right shoulder pain

Case 5 - 39-year-old male presents with left shoulder pain

Case 6 - 73-year-old male presents with severe left shoulder pain

Case 7 - 53-year-old male presents with popping and pain on top of left shoulder

Case 8 - 49-year-old reports with left shoulder pain

Case 9 - 61-year-old female presents with right shoulder pain

Case 10 - 15-year-old male has alleged recurrent dislocation in his right shoulder

Case 11 - 10-year-old female presents with right scapular mass and pain

Case 12 - 58-year-old male presents with bilateral shoulder pain

Case 13 - 15-year-old female cheerleader presents with right shoulder pain

Case 14 - 17-year-old female presents with right shoulder pain

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 14 unique Shoulder MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Shoulder MRI Cases

<div>HISTORY:&#160;This 40&#173;-year&#173;-old male presents with left shoulder injury.PRIMARY FINDING:&#160;Massive cuff contusion with bone fragmentationUsing the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: A nondisplaced, fragmented greater tuberosity fracture is present with extensive osseous edema.&#160;Severe rotator cuff contusion of the supraspinatus and infraspinatus distal insertions with interstitial tearing, tendinopathic changes and surrounding inflammation secondary to direct-impact injury. The distal attachments of the infra- and supraspinatus tendons are still intact.&#160;Mild tendinopathic changes of the supraspinatus tendon at its distal insertion. Capsulobursitis secondary to the impact injury is present with fluid migrating into the subcoracoid space.&#160;Long head of the biceps tendon is intact, as is the biceps labral anchor.&#160;The glenohumeral is congruent. There is mild posterior sagging of the humeral head. Degenerative anterior and posterior labral tears are present.&#160;Mild acromioclavicular joint arthropathy.&#160;CONCLUSION:&#160;1. Nondisplaced fragmented greater tuberosity fracture secondary to direct impact with traumatic cuff contusion involving the insertional portions of the supraspinatus and infraspinatus tendons with interstitial tearing, tendinosis and surrounding inflammation. Please note the tendinous attachments are still intact.&#160;2. Mild insertional tendinopathy of the subscapularis tendon.&#160;3. Degenerative labral tear.&#160;4. Capsulobursitis with fluid extending into and distending the subcoracoid space.</div>

Case

What is the primary finding in this case?

Case 2 - 40­-year­-old male presents with left shoulder injury

Case 2 - 40-year-old male presents with left shoulder injury