MRI Results confusion

[t009349]

Hi guys, my first post. Purely because I'm confused about shoulders. I recently got MRI results back after repeated subluxations and 1 dislocation which followed.

I got my results back in the post yesterday and they found 3 problems as far as I am aware but I've got no idea what they mean. I'm active everyday of the week playing soccer/football, whether its playing or coaching. Anyways, I was wondering if anybody knew what these results mean.

1. A tear of the anterior and anteroinferior labrum extending from the 2 o'clock to the 6 o'clock position as described.
2. There is full thickness chondropathy involving the anteroinferior aspect of the glenoid.
3. A large Hill Sachs' lesion measuring 2.5 x 0.7cm in dimension


Does anybody know what this means because I really am lost haha

Cheers guys

[t009349]

Also I forgot to add, I'm 20 years old.

Thanks!

[Heidi]

Hi

The injuries you describe are all quite common injuries which occur following dislocations. I'll try to explain them!

1. A tear of the anterior and anteroinferior labrum extending from the 2 o'clock to the 6 o'clock position as described.

The labrum is like a ring of cartilage which surrounds the socket part of the 'ball and socket' joint. Find out more about that here: http://www.sportsinjuryclinic.net/cybertherapist/front/shoulder/glenoid_labral_tear.php

2. There is full thickness chondropathy involving the anteroinferior aspect of the glenoid.

chrondropathy is basically pathology of the cartilage - in this case, i think it means the articular cartilage which lines the socket.

3. A large Hill Sachs' lesion measuring 2.5 x 0.7cm in dimension

This is a depression in the head of the humerus bone which is exclusive to anterior dislocation patients. It is sometimes even used to diagnose that a dislocation occurred. Basically when the shoulder dislocates, the relatively soft head of the humerus impacts against the front edge of the glenoid (socket). The result is a divot or flattening in the posterolateral (back, side)aspect of the humeral head.

I hope this all helps in explaining what is happening with your shoulder.
Good luck!

[t009349]

Thanks for that! It makes a little more sense now! Do you have any idea what form of treatment that will happen? Shoulders be progressively worse in the past 2 weeks, constantly feeling as if its locking/popping/catching on something.

Thanks again

[Heidi]

Hi

I'm certainly no expert on shoulder surgery but I should imagine due to the extent of the injury that it may be suggested.
Rehab programmes are an alternative which can be successful for the shoulder following dislocations. But it will depend on the opinion of your consultant and of course your wishes.