Shoulder pain and limited range of motion There is flattening and fragmentation of the humeral head medially as seen on recent radiographs which could reflect the sequela of avascular necrosis or neuropathic arthropathy. There is distention of the joint with heterogeneous fluid signal intensity which likely reflects a combination of synovitis and debris. Degenerative cysts are noted within the underlying humeral head.GLENOHUMERAL JOINT AND GLENOID LABRUM: Subchondral cysts are noted within the glenoid which are likely degenerative. There is diffuse degeneration and tearing of the labrum, which is most severe posteriorly.ROTATOR CUFF: Despite the deformity of the humeral head, the rotator cuff itself appears intact as does the rotator cuff musculature.SUPRASPINATUS OUTLET: There is deformity of the distal clavicle indicating a chronic fracture with no definite bony bridging evident. A trace amount of fluid is noted within the subacromial-subdeltoid bursa. The coracoacromial ligament is thickened perhaps the result of prior trauma.BICEPS TENDON: The tendon of the long head of the biceps is intact.
Flattening and fragmentation of the humeral head with distention of the glenohumeral joint with heterogeneous signal intensity which likely reflects a combination of debris and synovitis. These findings may be the result of avascular necrosis or neuropathic arthropathy, however the rotator cuff is intact. Additional findings are described above.