Presentation
Pain in right shoulder, suspected scapular dyskinesia clinically.
Patient Data
SLAP tear is seen from approx. 10-1 o’clock position. The tear is likely extending into the intracapsular segment of biceps tendon for a length of approx. 15 mm.
Type III acromion process with a small spur at its inferior aspects, acromioclavicular joint arthropathy, eburnation along articular margins and mild joint effusion. Significant subchondral erosions and marrow edema are seen along the distal clavicle.
Supraspinatus tendinosis is seen with a small partial interstitial tear in anterior fibers, near the attachment site involving approx. 10 % thickness. It measures approx. 7.6 mm in transverse and 5 mm in anteroposterior dimensions.
Mild infraspinatus tendinosis is also seen.
Subscapularis tendon is unremarkable.
Minimal fluid is seen along biceps tendon in the bicipital groove.
Articular aspects of the glenohumeral joint appear normal with no acute erosions / subchondral marrow edema.
Case Discussion
SLAP tear from approx. 10-1 o’clock position likely extending into intracapsular segment of biceps tendon for a length of approx. 15 mm making it a SLAP type IV lesion.
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