32-year-old female with right shoulder pain after fall. Evaluate rotator cuff and labrum. ROTATOR CUFF: No evidence of rotator cuff tear. No muscle atrophy or edema.SUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: Linear track of contrast in the superior labrum from the level of the biceps anchor extending posteriorly compatible with a SLAP tear. This may be due to extension of the tear of the anterior labrum superiorly (described below).Tearing and avulsion of the anterior labrum with periosteal stripping from the anterior scapular neck extending from the anterior superior labrum to inferior labrum. There is mild granulation tissue and some synovitis in the area.The posterior labrum is diminutive and possibly torn. There is fissuring of the cartilage posteriorly and may represent a tear at the chondrolabral junction.BICEPS TENDON: No significant abnormality noted. ADDITIONAL
1. Mild bone marrow edema in the posterior aspect of the humeral head without distinct fracture line and some associated changes in the anterior glenoid suggests possible prior dislocation. There is no discrete Hill-Sachs deformity.2. Tearing and avulsion of the anterior labrum with periosteal stripping from the anterior scapular neck extending from the anterior superior labrum to inferior labrum - (Perthes Lesion).3. Possible tear of the posterior labrum (with fraying) which is diminutive with a cartilage fissure at the chondrolabral junction. 4. No rotator cuff tear.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.