Presentation
Shoulder pain, boxer
Patient Data
Hyperintensity on PDFS images is seen underneath the superior glenoid labrum from approximately 10 to 1 o'clock position.
Tear of the posteroinferior glenoid labrum at approximately 8 o'clock position.
Case Discussion
Some hyperintensity can be seen underneath the glenoid labrum anteriorly, which is called the superior sublabral sulcus. However, it extends only up to the level of the biceps anchor and not posterior to it. In the above case, the hyperintensity is more prominent than usual and extends posterior to the level of the biceps anchor (beyond 12 o'clock position). A suspicion of type 2 SLAP tear (detachment of the superior labrum and biceps anchor from the underlying superior glenoid at the chondrolabral junction) was raised, which was confirmed on arthroscopy.
The other tear of the posteroinferior glenoid labrum was also confirmed on arthroscopy.
Both tears were fixed with sutures.
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