19-year-old male status post reduction of an acute anterior dislocation. Is there an associated labral tear? Some sequences are limited by patient motion artifact.ROTATOR CUFF: The supraspinatus muscle and tendon appear intact. The infraspinatus muscle and tendon appear intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: There is no significant fluid within the subacromial/subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The glenohumeral joint alignment is within normal limits. There is a glenohumeral joint effusion. There is a large anterior/inferior labral tear extending from approximately the 2 o'clock position, anteriorly, to the 6 o'clock position, inferiorly, with detachment of the capsule from the inferior aspect of the glenoid. Additionally, there is abnormal signal intensity within the superior labrum indicating a SLAP tear which we suspect extends into the biceps anchor. There is also a Hill Sachs deformity with edema within the underlying humeral head.BICEPS TENDON: As stated above, we suspect there is a SLAP tear with extension into the biceps anchor, but the remainder of the long head of the biceps tendon appears normal. Fluid within the tendon sheath of the long head of the biceps likely represents extension from the glenohumeral joint.
1. Large anterior/inferior labral tear as well as a SLAP tear that we suspect extends into the biceps anchor.2. Hill-Sachs deformity and glenohumeral joint effusion.