Patient History
Clinical concern for labral lesion
Findings
ROTATOR CUFF: No tendinosis or tears. Normal muscle girdle.
SUBACROMIAL/SUBDELTOID BURSA:No bursitis.
MUSCLES (ROTATOR CUFF/DELTOID, TRAPEZIUS, PECTORALIS): Normal muscle girdle.
BICEPS TENDON: Intact.
AC JOINT: Intact.
CORACOCLAVICULAR LIGAMENTS: Normal.
SUBACROMIAL ARCH/OUTLET: Type 2/curved acromion without downsloping.
SUBCORACOID ARCH: Normal. No narrowing.
GLENOHUMERAL JOINT: No arthropathy. Trace effusion.
GLENOID LABRUM: Stripping of the anteroinferior labrum involving the 3-6 o'clock positions. No Bankart lesions.
BONES: No intramedullary lesions. No fracture or dislocations.
SUBCUTANEOUS SOFT TISSUES: Focal tear at the humeral insertion of the axillary and anterior bands of the inferior glenohumeral ligament (IGHL). Stripping of the middle glenohumeral ligament (MGHL).
AXILLA: Mild inflammatory changes at the axillary pouch. No space-occupying lesions.
Impressions
1. Focal tears at the humeral attachment of the anterior and axillary bands of the inferior glenohumeral ligament (HAGL). No avulsion fractures are identified.
2. Stripping without displacement of the anteroinferior labrum. No paralabral cysts.
