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The International Cartilage Repair Society has set up an arthroscopic grading system by which cartilage defects can be ranked: grade 0: (normal) healthy cartilage; grade 1: the cartilage has a soft spot, blisters, or superficial wear; grade 2: minor tears of less than one-half the thickness of the cartilage layer
Figure 5: Traumatic fracture of the greater tuberosity in a 51-year-old man presenting with left shoulder pain after a fall on ice. Initial radiographs were normal. Coronal inversion recovery MRI shows a fracture line (arrow) through the greater tuberosity surrounded by a bone marrow edema pattern. [1]
A SLAP tear or SLAP lesion is an injury to the superior glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity in the shoulder blade) that initiates in the back of the labrum and stretches toward the front into the attachment point of the long head of the biceps tendon.
Focal defects in cartilage: Small chondrophytes or osteophytes at margins IV Horizontal clefts parallel to endplate: Focal disruptions: Fibrocartilage extending from subchondral bone; irregularity and focal sclerosis in subchondral bone: Osteophytes smaller than 2 mm V Clefts extended through nucleus and annulus: Diffuse sclerosis
A SLAP tear (superior labrum anterior to posterior) is a rupture in the glenoid labrum. SLAP tears are characterized by shoulder pain in specific positions, pain associated with overhead activities such as tennis or overhand throwing sports, and weakness of the shoulder. This type of injury often requires surgical repair. [8]
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
X-ray at right shows same shoulder after reduction and internal rotation, revealing both a Bankart lesion and a Hill-Sachs lesion. Diagnosis can be suspected by history and physical examination which is usually followed by imaging. Because of the mechanism of injury, apprehension of anterior dislocation is common with provocative maneuvers.
A Bankart lesion is a type of shoulder injury that occurs following a dislocated shoulder. [3] It is an injury of the anterior (inferior) glenoid labrum of the shoulder. [ 4 ] When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.