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What Does The Following Test Result Indicate?

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Posted on Mon, 2 Nov 2015
Question: What is wrong with my left knee in plain English?
IMPRESSION:
1. Partial articular sided/intrasubstance tear of the distal fibers of the junction of the right supraspinatus and
infraspinatus tendons, which measures approximately 8 mm in length x 3 mm in anterior to posterior dimension x
1-2 mm in thickness.
2. Partial intrasubstance tear of the junction of the right supraspinatus and infraspinatus tendons located 1.5 cm
medial to the footplate insertion, and this tear measures approximately 7 mm in length x 3 mm in anterior to
posterior dimension x 1-2 mm in thickness.
3. Partial intrasubstance tear of the distal superior fibers of the right subscapularis tendon, which measures 11
mm in length.
4. Superior labral anterior posterior (SLAP) tear.
5. Sprain of the right superior and inferior acromioclavicular ligaments.
6. Moderate osteoarthritis of the right acromioclavicular joint, a type III acromion with an 8 mm subacromial
spur projecting from the anterior inferior surface of the acromion, and a mildly laterally downsloping orientation
of the acromion, which are findings that increase the anatomic risk for subacromial impingement syndrome in the
right shoulder.
7. Small amount of fluid in the right subacromial subdeltoid bursa, which may represent bursitis
doctor
Answered by Dr. Nishad BN (2 hours later)
Brief Answer:
Rotator cuff muscle tear.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query. This is not knee but is shoulder. Main problem mentioned here is Rotator cuff muscle tear. These are muscles which surrounds and give stability to shoulder joint. They are 4 in numbers. supraspinatus , infraspinatus , teres minor and subscapularis.

Partial interstitial (intrasubstance) tear is observed in junctions of supraspinatus , infraspinatus and fibres of subscapularis tendon. (tendon is portion of muscle which give attachment to bone).
There is also labral tear. Labrum is the portion where the ball of humerus (shoulder bone) attaches. There is SLAP tear (superior labral tear) here.

There is also sprain of acromioclavicular ligaments ( ligaments which attaches scapula to collar bone).

There is also osteoarthritis of this joint (collar bone to scapula) and bony spurs which increases risk of subacromial impingement syndrome (painful arc). That is pain when you lift your arms straight up sideways.

There is also bursitis of subdeltoid bursa. (it is inflammation of fluid filled sac under deltoid muscle).

Treatment initially is NSAID drugs , local corticosteroid injections and physiotherapy. If no improvement then arthroscopic surgery can be considered.

Hope this may help you. Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Nishad BN (14 minutes later)
Brief Answer:
You are welcome.

Detailed Answer:
You are welcome.

Let me know if you have any further queries.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nishad BN (0 minute later)
Doctor,

Thank you. This is very helpful.

XXXX
Answered by
Dr.
Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5482 Questions

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What Does The Following Test Result Indicate?

Brief Answer: Rotator cuff muscle tear. Detailed Answer: Hi Thank you for asking HCM. I have gone through your query. This is not knee but is shoulder. Main problem mentioned here is Rotator cuff muscle tear. These are muscles which surrounds and give stability to shoulder joint. They are 4 in numbers. supraspinatus , infraspinatus , teres minor and subscapularis. Partial interstitial (intrasubstance) tear is observed in junctions of supraspinatus , infraspinatus and fibres of subscapularis tendon. (tendon is portion of muscle which give attachment to bone). There is also labral tear. Labrum is the portion where the ball of humerus (shoulder bone) attaches. There is SLAP tear (superior labral tear) here. There is also sprain of acromioclavicular ligaments ( ligaments which attaches scapula to collar bone). There is also osteoarthritis of this joint (collar bone to scapula) and bony spurs which increases risk of subacromial impingement syndrome (painful arc). That is pain when you lift your arms straight up sideways. There is also bursitis of subdeltoid bursa. (it is inflammation of fluid filled sac under deltoid muscle). Treatment initially is NSAID drugs , local corticosteroid injections and physiotherapy. If no improvement then arthroscopic surgery can be considered. Hope this may help you. Let me know if anything not clear. Thanks.