Glenolabral articular disruption (GLAD lesion) with Buford complex and supraspinatus tear

Case contributed by Henry Knipe , 9 Nov 2021
Diagnosis certain
Changed by Henry Knipe , 26 Nov 2021

Updates to Study Attributes

Findings was changed:

Full thickness partial width anterior supraspinatus footplate tear extending as a delamination tear into the critical zone. No further rotator cuff tear. 

Small glenohumeral joint effusion with a chondral fragment in the axillary recess. Absent anterior glenoid labrum with a band-like middle glenohumeral ligament reflecting a Buford complex.

Anteroinferior labrum and anterior band inferior glenohumeral ligament are high signal and irregular. Significant anteroinferior glenoid chondral loss measuring. No anteroinferior glenoid bone loss; glenoid track measures 31 mm. Non-acute Hill Sachs defect measuring 26 mm (AP to infraspinatus insertion) and 17 mm (craniocaudal).

Subcoracoid bursal effusion with synovial thickening. No subacromial bursal effusion. 

Mild degenerative changes of the acromioclavicular joint.

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