An american executive in IT firm, presented with shoulder pain. He is an occasional tennis and basketball player, however never sustained any injuries. Patient has pain during adduction (not abduction).
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Decreased coracohumeral distance is seen, with impingement of subscapularis muscle, by a hypointense spur in coracoid process. Altered signal is seen at medial aspect of subscapularis tendon, with fluid along the tendon.
This is a classical case of subcoracoid impingement, a relatively under-rated entity.