HomeAnswersRadiologyligament tearWhat is the reason for persistent pain in my shoulder since 15 weeks?

Is a persistent shoulder pain lasting for more than 15 weeks suggestive of a ligament tear?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 29, 2022
Reviewed AtJune 16, 2023

Patient's Query

Hello doctor,

For 15 weeks, I have had persistent pain in my shoulder. Yesterday, I had an MRI scan and arthrogram. I am sharing the reports for your reference. Kindly suggest the treatment.

Thank you.

Hello,

Welcome to icliniq.com.

I am sorry to hear about your pain. I have reviewed your reports (attachment removed to protect the patient's identity). However, you did not mention the reason, was it caused due to trauma or sports?

The following findings have been noted in your reports:

Rotator interval tear.

SLAP tear.

Partial thickness supraspinatus tear.

Biceps tendinopathy.

The rotator interval is a small gap between the muscles attaching to the upper surface of the humerus, and the gap is reinforced by ligaments. There is a wedge-shaped high signal fluid collection between the coracoid process and the upper margin of the subscapularis, representing a tear of these ligaments.

There is a crescentic high signal at the upper margin of the glenoid labrum at the attachment of the biceps tendon, representing a small SLAP tear with possible bony avulsion.

I can also see a minor defect in the posterior surface of the supraspinatus musculotendinous junction — partial thickness tear. And there is fluid collection along the biceps tendon due to the SLAP tear, representing biceps tendinopathy.

I suggest you take rest, medications, and therapy to recover from the tears. Surgery may not be necessary. However, I recommend you consult an orthopedic doctor for further advice.

I hope this helps.

Thank you.

Probable diagnosis

The probable diagnosis is a rotator interval tear, SLAP tear, partial thickness supraspinatus tear, and biceps tendinopathy.

Regarding follow up

I suggest consulting an orthopedic.

Patient's Query

Hello doctor,

Thank you for the response.

There is no history of injury.

Hello,

Welcome back to icliniq.com.

Hello,

Welcome back to icliniq.com.

I understand that it may be a bit distressing and confusing for you at this stage. However, the enchondroma mentioned in the report is tiny and is most likely unrelated to your pain. Enchondromas are quite common findings in skeletal MRI (magnetic resonance imaging) and are benign, so we often ignore them. However, I suggest you consult an orthopedic doctor for further treatment plan.

I hope this helps.

Thank you.

Regarding follow up

I suggest you consult an orthopedic doctor.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Shoyab
Dr. Muhammad Shoyab

Radiodiagnosis

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