Presentation
Window washer with right shoulder pain without trauma
Patient Data
Coronal oblique T2-weighted magnetic resonance imaging shows a superior labral anterior posterior tear SLAP lesion located at the 11- to 1-o’clock position of the glenoid labrum with fraying and degenerative aspect of the free edge of the upper labrum with a loculated paralabral cyst extending to the suprascapular notch. Partial insertional supraspinatus tendon tear and glenohumeral arthritis with damage to the articular surfaces of the humeral head and glenoid. No sign of entrapment of the infraspinatus branch of the suprascapular nerve. The subscapularis tendon and the long head of the biceps tendon are normal.
Case Discussion
A type II SLAP tear is frequently caused by repetitive overhead motion. Sometimes ganglion cysts of the spinoglenoid notch are secondary to a one-way valve mechanism from labral tears.
Case courtesy of Dr.ssa Laura Braccaioli
Radiographer: TSRM Fabio Imola
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