MRI Results for My Shoulder: What Do They Indicate?
I recently underwent an MRI on my shoulder and I’m curious about its implications. At 27 years old, I'm wondering if the details provided can clarify whether surgery might be necessary. **EXAMINATION METHOD:** A detailed multiplanar and multisequential examination was performed without contrast enhancement. **RESULTS:** Contrast and fluid were introduced into the joint before the MRI. The analysis revealed that fluid and contrast have created an undercut beneath the superior glenoid labrum at the 11 to 1 o'clock positions, impacting where the long head of the biceps tendon anchors. No signs of labral displacement were observed. However, the anterior inferior portion of the glenoid labrum appears poorly defined, exhibiting fraying along the edge from the 3 to 6 o'clock positions. Additionally, there is a superficial fissure in the cartilage of the anterior glenoid along with an 8 mm loose body located in the axillary recess, which likely consists of cartilaginous tissue. It was noted that there is a deficiency in the anterior inferior glenoid region. A small Hill-Sachs deformity was also identified. The glenoid track measures approximately 10 mm, while the Hill-Sachs deformity is recorded at 14 mm, indicating that it is larger than the glenoid track, which is associated with an off-track shoulder injury. Importantly, no tears in the rotator cuff were detected; both the rotator cuff and deltoid muscles exhibited normal imaging. There were no indicative signs of osteoarthritis or bony erosion, and the acromioclavicular (AC) joint appeared normal as well. **CONCLUSION:** The findings suggest the presence of a superior labral tear affecting the biceps anchor, consistent with a SLAP tear. There is no evidence of labral displacement or a complete detachment of the biceps anchor. Additionally, the Hill-Sachs deformity and bony Bankart represent an anterior inferior glenoid labral tear, with the Hill-Sachs defect classified as off track.
Answers (1)
8/21/2025, 8:32:54 PM
OpenHealth AI
The MRI findings indicate some complex issues with your shoulder, particularly a superior labral tear (often called a SLAP tear) and a Hill-Sachs deformity, which can both affect your shoulder's stability and function. However, there are no rotator cuff tears or signs of significant degeneration, which is reassuring.
Explanation
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Superior Labral Tear (SLAP Tear): This tear affects where the biceps tendon attaches to the shoulder, which could lead to pain and instability. Although it doesn't seem to be displaced, it can still cause symptoms such as pain during overhead activities.
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Hill-Sachs Deformity: This is an indentation on the humeral head (your arm bone), which suggests that you might have had a prior dislocation or significant shoulder instability. The larger size of the deformity compared to the glenoid track indicates potential instability, known as an "off-track" injury.
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Glenoid Labral Fraying and Cartilage Fissure: This indicates some damage, but no complete tears were found. It suggests wear and potential discomfort but isn’t as critical as a fully torn labrum.
Next Steps
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Monitor Symptoms: Pay attention to how your shoulder feels during activities. Note any pain, weakness, or instability during certain movements, especially overhead or during sports.
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Conservative Treatment First: Engage in physical therapy focusing on strengthening the shoulder stabilizing muscles and improving range of motion. Exercises can help alleviate symptoms and may prevent the need for surgery.
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Incorporate Rest: Avoid activities that provoke pain—especially overhead movements or heavy lifting—until you consult with a healthcare professional about your treatment options.
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Evaluate/Maintain Range of Motion: Gentle range-of-motion exercises can help maintain your shoulder's mobility and prevent stiffness.
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Follow Up: Consider scheduling a follow-up consultation with an orthopedic specialist or your general doctor to discuss these findings and potential next steps, which may include further imaging or an evaluation of the need for surgical intervention based on your symptoms and quality of life.
It's important to stay proactive about your shoulder health while you explore treatment options. If you notice any worsening symptoms, make sure to seek help promptly to address any concerns.
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