Orthopedic Surgeon (Orthopedist) Questions Orthopaedic Surgeon

My shoulder MRI report?

1. No labral tear or SLAP lesion within the limitation of no arthrographic study. Slight degenerative change in the inferior aspect of the glenohumeral joint without significant effusion or synovial thickening.

2. The biceps tendon demonstrated no subluxation, dislocation, or tear.

3. Mild tendinopathy in distal subscapularis tendon without discrete partial or full-thickness tear.

4. Moderate degenerative changes of the acromioclavicular joint. A trace amount of fluid is seen in the subacromial-subdeltoid bursa.

5. Mild tendinopathy of distal supraspinatus tendon with low-grade linear delaminating fluid content intrasubstance tear extending to the myotendinous junction. No extension to the bursal or articular surface. No retraction or full-thickness tear.

6. Mild to moderate tendinopathy of distal infraspinatus tendon with small foci of intrasubstance tear. No retraction or full-thickness tear.

8. No significant muscle atrophy or fatty change.

9. The acromion is type II gently curved in the sagittal plane and is not downsloping in the coronal plane. No periarticular cystic or solid masses.

IMPRESSION:

1.No labral tear or SLAP lesion within the limitation of nonarthrographic study.

2. Moderate degenerative changes of the acromioclavicular joint with capsular thickening and fluid within the joint. Minimal degenerative change of the inferior aspect of the glenohumeral joint.

3. Mild to moderate tendinopathy of distal infraspinatus and to lesser extent distal supraspinatus tendons with foci of intrasubstance tear as described above. No retraction or full-thickness tear.

4. Mild tendinopathy of distal subscapularis tendon without discrete tear.

Can someone please give me their opinion on this MRI report of my left shoulder?

Male | 52 years old
Complaint duration: 4 months
Medications: None
Conditions: Shoulder pain

2 Answers

Normal for age
It would sound like you have a high-grade partial thickness tear of the supraspinatus, called David laminating tear. It is likely a surgical tear, although I cannot view the images. You will likely be sent first to physical therapy, but surgery will likely be the ultimate endpoint.
All the best.