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What is the effective treatment for right shoulder pain after a racket sports injury?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have right shoulder pain on certain movements. I had a right shoulder injury during racket sports. Please review my MRI images.

Thank you.

Answered by Dr. Muhammad Shoyab

Education:

MBBS

Professional Bio:

Dr. Muhammad Shoyab is a highly skilled Radiologist with expertise in radiodiagnosis and advanced imaging techniques, including CT, MRI, ultrasound, and X-ray interpretation. He specializes in accurate and early detection of diseases to support effective treatment planning. Dr. Shoyab is committed to delivering precise, timely, and patient-focused diagnostic services, playing a crucial role in modern medical care and multidisciplinary clinical decision-making.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have reviewed your attached reports (attachments removed to protect the patient's identity). I can see a large amount of fluid collection around the shoulder joint. That is caused by focal complete tears and retraction of 2 of the 4 tendons that make up the rotator cuff of the shoulder. The affected two are called the supraspinatus & infraspinatus, and the tear is about 3 cm away from their attachment to the humerus. The rest of the muscles, tendons, and shoulder joint capsules and cartilages are normal. So, it is quite a significant injury there, and you need to immediately consult an orthopedic or arthroscopic surgeon for further steps.

Thank you.

Regarding follow up

Consult an orthopedic or arthroscopic surgeon.

Patient's Query

Hello doctor,

Is the tear completely away from the humerus, or is it a tear leaving some tendon material on the bone?

Thank you.

Answered by Dr. Muhammad Shoyab

Education:

MBBS

Professional Bio:

Dr. Muhammad Shoyab is a highly skilled Radiologist with expertise in radiodiagnosis and advanced imaging techniques, including CT, MRI, ultrasound, and X-ray interpretation. He specializes in accurate and early detection of diseases to support effective treatment planning. Dr. Shoyab is committed to delivering precise, timely, and patient-focused diagnostic services, playing a crucial role in modern medical care and multidisciplinary clinical decision-making.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand it is distressing to discuss this, but I will try to be objective. As I mentioned earlier, there is a full-thickness complete tear of the supraspinatus and infraspinatus, as well as a tear of what is called the rotator interval. The tear leaves minimal or no remnants on the humerus. The torn tendons are retracted approximately 1.5 cm away from the humerus. However, I cannot see any fatty degeneration in the torn edges yet. And as I said earlier, there is some fluid collection around the joint, which is quite obvious at this stage.

I hope the above information helps.

Best wishes.

Thank you.

Regarding follow up

Orthopaedics
Medically reviewed by iCliniq medical review team
Published At March 26, 2023
Reviewed At October 10, 2023

Education:

MBBS

Professional Bio:

Dr. Muhammad Shoyab is a highly skilled Radiologist with expertise in radiodiagnosis and advanced imaging techniques, including CT, MRI, ultrasound, and X-ray interpretation. He specializes in accurate and early detection of diseases to support effective treatment planning. Dr. Shoyab is committed to delivering precise, timely, and patient-focused diagnostic services, playing a crucial role in modern medical care and multidisciplinary clinical decision-making.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Muhammad Shoyab is a highly skilled Radiologist with expertise in radiodiagnosis and advanced imaging techniques, including CT, MRI, ultrasound, and X-ray interpretation. He specializes in accurate and early detection of diseases to support effective treatment planning. Dr. Shoyab is committed to delivering precise, timely, and patient-focused diagnostic services, playing a crucial role in modern medical care and multidisciplinary clinical decision-making.

This doctor is not available for online consultations on the platform anymore.

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