Post total shoulder replacement drill bit detached
A 45 year old male came off his bicycle.
The patient ended up with shoulder pain and came for an ultrasound.
A posterior labrum tear was demonstrated with fluid seen in the supra-scapular notch.
The first picture is with labelling and the second without.
With extenral rotation the amount of fluid in the suprascapular notch increased.
Movement of the posterior […]
1 year of poorly localised posterior shoulder pain. Ex boxer. Scan shows numerous multiloculated paralabral cysts. Note that they do not fill with Gd.
Patient with post shoulder pain and infraspinatus weakness
MRI demonstrates labral cyst , note also signal changes extending to post labrum , probably due to previous labral tear
66yr lady with rotator cuff tendinosis and a clicking scapula.
Elastofibroma dorsi is a pseudotumour consisting of fibroelastic tissue which presents as a painless mass producing clicking on forward scapular motion.The typical appearance is a mass which is isointense to muscle with fatty components deep to the scapula(in this case deep to serratus). Repetitive trauma has […]
Hill-Sachs lesion on CR and US
Recurrent shoulder dislocations
CR demonstrates bony Bankart and Hill-Sachs lesions
Direct impact injury to shoulder during dive playing rugby
Localized tenderness antero lat
Plain films not conclusive , ultrasound demonstrated cortical irregularity , with also local cortical and soft tissue changes on MRI, note the absence of more diffuse marrow edema
Patient sustained rugby injury
Initial x ray mentioned # , but were not available for evaluation . Lesion in humeral head noted on follow up x ray
Xray , CT , MRI and isotope studies
Histology proven Giant cell tumor
30 year old lady with progressive weakness of the infraspinatus muscle.
An ultrasound shows a large ganglion adjacent to the posterior labrum, which extends into the suprascapular notch with compression on the nerve in the notch.
Under ultrasound guidance and local anaesthetic, the ganglion was drained using an 18 gauge needle, and thick jelly-like fluid was aspirated.