Reason: right shoulder dislocations History: pain ROTATOR CUFF: The supraspinatus and infraspinatus muscles and tendons appear intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: Minimal osteoarthritis affects the acromioclavicular joint. We see no fluid or gadolinium within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The anterior labrum is detached from the underlying glenoid indicating a large Bankart lesion extending from the superior labrum to the inferior labrum. There is also a cleft through the posterior inferior labrum suggesting further extension of this tearing. There may be a tiny cleft, centrally within the articular cartilage of the glenoid, but this is equivocal. There is a Hill-Sachs deformity, as suggested on the prior shoulder radiographs, with edema in the underlying humeral head. The inferior capsule of the glenohumeral joint appears patulous and is unusually low-lying which could reflect prior trauma to the humeral attachment of the glenohumeral ligament, but this is equivocal.BICEPS TENDON: The tendon of the long head of the biceps appears intact.
Findings indicating prior anterior dislocation including a Hill-Sachs fracture of the humeral head and a cartilaginous Bankart lesion that appears to extend to involve the posterior inferior labrum as well. Other findings as described above.