Chronic superior labral anteroposterior tear with paralabral cyst
Presentation
History of trauma a year back. Complaints of vague shoulder pain and clicking sound with overhead activities.
Patient Data
There is a chronic appearing superior labral anteroposterior tear, affecting the 10 to 2 o'clock position.
Furthermore, a moderate sized multilobulated cystic lesion seen at the spino-glenoid notch, in keeping with paralabral cyst. The teres minor shows mild edema - likely secondary to suprascapular nerve impingement (or variant innervation).
Tiny infra-acromial spur seen with secondary supraspinatus tendon impingement. No tear.
Changes of subacromial subdeltoid bursitis is seen.
Special thanks: Dr HK Anand.
Case Discussion
Chronic appearing superior labral anteroposterior tear with paralabral cyst. Secondary suspicious suprascapular nerve compression with teres minor denervation edema (or variant innervation).