How to recognize the right and left shoulder blades

Findings interpreter

Dear Mrs,
Thank you for the kind referral from your patient Helmut Schmidt, born August 17, 1941.

MRT the right shoulder

Magnetic resonance imaging of the right shoulder

Justifying indication

Pain in the right Shoulder. No past trauma. Ask about impingement? Bursitis?

Why the investigation should be carried out:

The exam is done because the patient has pain in his right shoulder. There has been no injury to the shoulder in the past.

The doctor wants to determine through the examination whether tissue is trapped at the shoulder joint. The doctor also wants to know if there is inflammation of a bursa.

technology

MRI of the right Shoulder with T1 and T2 weighted sequences in multiple planes.

Examination technique:

An MRI scan of the right shoulder was performed. Various recording techniques were used. The shoulder joint can be seen from different directions in the pictures.

Finding

Regular articulation in the AC joint and humeroglenoid joint.

What you can see in the pictures:

The bones that form the shoulder joint and shoulder joint join together normally.

  • The shoulder joint is located between the collarbone and a bone process of the shoulder blade.
  • The shoulder joint is formed by the humerus and the shoulder blade.

No fresh bone lesion. According to age of cartilage.

The doctor cannot see a fresh injury to the bone. The bones of the shoulder joint and the ankle joint are covered with cartilage. When examined, this layer of cartilage looks as one would expect it to be in the patient's age.

No narrowing of the subacromial space.

The area below shoulder height is not restricted.

  • The shoulder height is a bone extension at the top of the shoulder blade.

Inconspicuous appearance of the rotator cuff.

At the shoulder joint there is a muscular jacket made up of four muscles. These four muscles stabilize the shoulder joint and participate in all movements. The four muscles look normal on examination.

Labrum, glenohumeral ligaments and long biceps tendons are unremarkable.

The edge of cartilage on the shoulder socket looks normal in the examination. The shoulder socket is a hollow on the side of the shoulder blade.

The ligaments that connect the humerus to the shoulder socket also look normal.

Likewise, the tendon that attaches the biceps muscle to the shoulder blade looks normal.

  • The biceps muscle is at the front of the upper arm. It is attached to the shoulder blade by a long and a short tendon.

The bone marrow shows a regular signal behavior in all sequences.

The bone marrow looks normal in all examination techniques used.

  • The bone marrow is inside the bones. It is the place where the blood is formed.

No bursitis, no evidence of joint effusion.

The doctor found no inflammation of the bursa. He also did not see any increased build-up of fluid in the shoulder or shoulder joint.

  • An increased build-up of fluid in the joint can indicate inflammation or injury.

evaluation

Shoulder joint MR tomography switch correspondingly normal. No evidence of significant degenerative joint changes. No bursitis, no impingement.

What that means in the pictures:

The shoulder joint looks on an MRI scan as one would expect it to be for the patient's age. The doctor sees no signs of joint wear beyond normal levels.

The doctor does not see any inflammation of the bursa. No tissue is pinched in the space between the shoulder joint and the shoulder joint.