Chronic superior labral anteroposterior tear with paralabral cyst

Case contributed by Dr Shailaja Muniraju

Presentation

History of trauma a year back. Complaints of vague shoulder pain and clicking sound with overhead activities.

Patient Data

Age: 30 years
Gender: Male

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).

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Case Information

rID: 48726
Case created: 21st Oct 2016
Last edited: 15th Dec 2016
Inclusion in quiz mode: Included

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