A patient with a shoulder injury, till he was cured at the
orthopaedic department, 3 peritendinous steroid injections, each of them about 20 mg of
Kenalog. Due to a restriction of motility and night pains the affection is
closed as a frozen shoulder. Regarding to the fact that his state is not
improving, he is finally marked as a not co-operative patient, and
rehabilitation is done as insufficient at the rehabilitative department.
picture and scheme of hydrops of the glenohumeral
articulation in the axillary section, pathological distance is 8,2 mm of the
articular capsule from the head of the humerus
picture and scheme of tenovaginitis of the long head of the biceps, at traumatic synovitis and ruptures of labrum posterior
picture and scheme of the effusion vs. ruptures of labrum
videoclip of the effusion vs. ruptures of labrum posterior
MRI at a patient with ruptures of labrum glenoidale – in
this picture there is seen a rupture of labrum glenoidale anterior – an arrow.
MRI at a patient with ruptures of labrum glenoidale – in this picture there is seen tenovaginitis of the long head of the biceps – an arrow.
A diagnosis of synovitis of the
glenohumeral articulation and tenovaginitis of the long head of the biceps was
clear, labrum posterior was normal during the ultrasound examination, but the
diagnosis of a rupture is not possible to be determined. But MRI examination
found, except diagnosis mentioned above, also a rupture of labrum anterior which
cannot be found by the ultrasound examination. It shows that for the determining
of the diagnosis, it is sometimes necessary to combine several methods. After an
aspiration of a liquid from the glenohumeral articulation and from the sheath of
the long head of biceps, where steroids were administered, the problems are
quickly getting better.