Orthopedics Questions? Ask an Orthopedist for Answers ASAP
I am an Orthopaedic surgeon and I would be happy to help you today.
Please upload your MRI report here and I will try to explain it.
Thank you for uploading the MRI reports and additional information.
Major finding on MRI is that the head of humerus has lost its blood supply probably as a result of fracture in 2014. As a consequence of weakness of bone secondary to loss of blood supply it has started collapsing.
Another finding is that the supraspinatus tendon the tendon responsible for initiating lifting of our arm by our side is thinned out.This may have caused the head of humerus to move a little higher relative to it's normal position.
Feel free to ask any follow up questions.
Thanks for your reply.
They are not sure about SLAP tear and that is why they have not mentioned it in final impression. MRI is not the best modality to diagnose s l a p tears .
Avascular necrosis is the cause of your pain . It is considered to be stage 3 when double line is seen on MRI.It suggests that bone under the surface of cartilage has collapsed. That causes loss of sphericity of head of humerus and limitation in mobility.Collapse can be painful as well.
The report is written according to a format where detailed findings are followed by a summary.
Core decompression surgery should be considered for the condition.Medical therapy with bisphosphonates may also be considered though it is still not established as a mainstream treatment for the condition.
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