Subcoracoid impingement

Case contributed by Praveen Jha
Diagnosis almost certain

Presentation

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).

Patient Data

Age: 30 years
Gender: Male
mri

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.

Case Discussion

This is a classical case of subcoracoid impingement, a relatively under-rated entity.

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