Help reading shoulder MRI results?

[sccollins]

Help! One says PT, other docs said surgery.  Painful shoulder above 90 degrees...  What does all this mean?

FINDINGS
BONES: There is no fracture or dislocation. Type II acromion is noted. There is mild acromioclavicular
joint arthrosis with mild narrowing of the supraspinatus outlet.
ROTATOR CUFF: Moderate supraspinatus and infraspinatus tendinopathy is noted. There is partial
articular surface tearing involving approximately 50% of tendon thickness. There is also partial
infraspinatus tendon tearing approximately 1.5 cm from the insertion. The teres minor and
subscapularis tendons are intact.
LONG HEAD BICEPS TENDON: Normal in appearance and location.
LABRAL LIGAMENTOUS STRUCTURES: There is a SLAP tear with extension to the anterior and inferior
labrum and adjacent cartilage .delamination and periosteal tearing. Superior, middle, inferior
glenohumeral ligaments are Intact.
CARTILAGE: There is a rounded area of delamination of the anterior glenoid articular cartilage adjacent
to the labral tear measuring approximately 1.5 x 1.5 cm adjacent to the labral tear.

IMPRESSION
1. Partial supraspinatus and infraspinatus tendinopathy with partial articular surface tearing.
2. SLAP tear with extension .into the anterior and inferior labrum with adjacent periosteal avulsion and rounded area of cartilage delamination measuring 1.5 x 1.5 cm.
3. Type 11 acromion with mild narrowing of the acromioclavicular joint outlet secondary to mild arthrosis.

[JD1963]

Hello and Welcome to MedHelp! I am the Orthopedic Community Leader. I am not a surgeon - (First Assistant). There is not sufficient information provided for me to even make a good guess. Unfortunately, I am not allowed to request for test results. Hopefully you will receive several posts on this matter. Best wishes!

[gbrygent]

I would really appreciate help in reading my mri

https://scontent-b-ord.xx.fbcdn.net/hphotos-prn2/v/t34.0-12/10270255_10154049763300182_699793397_n.jpg?oh=0611de36690a0653a948629ce80bfde1&oe=53521FB2

[S. Kaul, MD]

Hi there!

The MRI describes tear of the tear of the fibro-cartilaginous rim that surrounds the shoulder joint associated with inflammatory changes in the supporting muscles and degeneration of the ling cartilage. Unless involved in sports or heavy physical work, a conservative management with physiotherapy would be preferred over surgery in the situation. While surgery should be considered if conservative management fails or increased strength around the shoulder is a primary requirement.
Hope this is helpful.

Take care!