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napsgear
genezapharmateuticals
domestic-supply
puritysourcelabs
Research Chemical SciencesUGFREAKeudomestic
napsgeargenezapharmateuticals domestic-supplypuritysourcelabsResearch Chemical SciencesUGFREAKeudomestic

Need help reading MRI Arthrogram Results

strictly poontang

New member
My orthopedic is out and I can't see him until 1 July. I went ahead and got my results from the MRI he scheduled me for, but don't quite understand them. Was hoping someone could help.

IMPRESSION:
1.Subtle blunting and degeneration of the inferior labrum without frank tearing.

2. Subtle partial tearing of the inferior glenohumeral ligament at its humeral insertion.

FINDINGS:
No gadolinium accumulating in the subacrominal or subdeltoid bursa and therefore I do not see any evidence of a full thickness rotator cuff tear. Biceps labral anchor appears intact w/o evidence of SLAP tear. The AC joint is degenerated with no significant mass effect on the underlying supraspinatus. There is no significant athrophy of the mucles in the rotator cuff. I do not see any displaced labral tears. There is subtle irregularity seen involving the inferior labrum on the ABER images only with somewhat globular nonlinear accumulation of gadolinium into the inferior glenoid labrum. This is suggestive of some glenoid labral degeneration but without frank tearing. The posterior band of the inferior glenohumeral ligament is poorly defined and may be congenitally hypoplastic. There is some gadolinium accumulating near the insertion of the glenohumeral ligament on the humeral neck best visualized on coronal image #11. Accumulation of gadolinium on the opposite side of the ligamentous insertion suggests that there has been a small tear of the inferior glenohumeral ligament at its insertion of the humeral neck. There is no complete tear and I do not see the classic "J" sign of a complete humeral avulsion of the glenohumeral ligament (HAGL). The middle and superior glenohumeral ligaments appear intact. The anterior inferior labrum is slightly blunted. The is no Hill-Sachs or bone Bankart injury.

Mainly just hoping to find out if this is something I will need surgery for or maybe just PT. I have lost almost 1/2 of my bench strength and have virtually no strength overhead with military press or incline benching. I wasn't able to get 70lbs to budge off the rack on the incline 2 weeks ago. Shoulders hurt when I move my arms in certain directions, especially backwards, perpendicular to the ground. Any help would be appreciated. Thanks in advance. Also, after experiencing symptoms, stopped working upperbody for 1 1/2 months, but problems did not improve.
 
Without seeing the MRI first hand the summary gives only a brief overview. From what it says you are fairly lucky at this point it hasn't progressed to further tearing at your inferior labrum and only a some minor tearing of the ligaments. I would not do any upper body work until you see a specialist and see what he has to say. Time is going to be the prescription on this one I'd have to say. And there doesn't seem to be anything there that would warrant surgery at this point, but don't quote me on that since I can't physically see the MRI. Take it easy and remember trying to keep working out because you feel like your losing your physic is only delaying your recovery time, and could exacerbate the problem further.
 
Thanks. Finally got a response. I haven't been doing any upper body, expecially since I really can't. I'm just working the legs, abs, arms and cardio until I see the orthopedic again. He'll have the film images and have a better idea I'm sure. Just anxious to find out something. I got the MRI and have to sit around for three weeks to get some news sucks. Especially with some events that are upcoming. If anyone else feels like chiming in, please feel free.
Also, this statement kinda bothered me for some reason: "The posterior band of the inferior glenohumeral ligament is poorly defined and may be congenitally hypoplastic." I don't know what it means, but reading it makes my sphincter tingle a little, and not in the good way.
 
that just means it has grown larger abnormally, and is not as small and defined as a normal ligament would be. and only on the posterior side and just note that your lucky to not have a SLAP tear from the anterior to the posterior. That would be a much worst case scenario.
 
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