Male 30 years old with left shoulder pain. Evaluate for labral tear. ROTATOR CUFF: The muscles and tendons of the rotator cuff are intact.SUPRASPINATUS OUTLET: There is edema within and along the capsule of the acromioclavicular joint and mild edema within the distal end of the clavicle. There is also slight irregularity of the distal clavicular margin. These findings may reflect a recent low-grade separation, stress reaction of the distal clavicle (posttraumatic osteolysis) or chronic osteoarthritic changes. Gadolinium deep to the anterior deltoid is likely iatrogenic. We see no additional fluid within the subdeltoid bursa to suggest rotator cuff tear.GLENOHUMERAL JOINT AND GLENOID LABRUM: Glenohumeral joint alignment is normal. There is abnormal signal intensity traversing the posterior labrum superiorly indicating a tear with small adjacent paralabral cysts. The tear extends anteriorly to involve the superior labrum and also extends inferiorly to at least the 6:00 position. There is also partial thickness tearing of the anterior inferior labrum which may represent further extension of the aforementioned tear.BICEPS TENDON: The tendon of the long head of the biceps is intact. The coracohumeral and superior glenohumeral ligaments are poorly defined on this study and we cannot exclude tearing of these structures.
1.Extensive tearing of the glenoid labrum as described above.2.Edema within and along the capsule of the acromioclavicular joint as well as within the distal clavicle may represent a recent low-grade separation, stress reaction of the distal clavicle (posttraumatic osteolysis) or chronic osteoarthritic changes.3.Other findings as described above.