Anyone on Veeky Forums good at understanding mri's...

The cyst is inside the bone, how would you like me to drain that tough guy?

bump

The cyst is not in the bone. If you don't know what it is then look it up.

The tendon rest in the groove as it drapes over into shoulder. Could have been bumped, hit or popped out & back in.

No spurs, just means could be inflamed or mild trauma (bumped your shoulder on something )

But itll get better right? What is it i have to do to get it better? I do have etodolac ant inflammatory drugs plus an anti inflammatory cream, can i use both or just 1? Would both hurt?

Sorry to tell you, user. You have ass cancer

I am a doctor. I have a phd in liberal arts, I confirm you have anus cancer.

Just look at the impression. The radiologist essentially says its normal but has to put the other shit there to shield himself from liability.

Your ortho will disagree with the radiologist read and insist you get a steroid shot anyways. That's the reason they make so much money.

Take the cream and shove it up your ass, then wash the sand out of your vagina.

appreciate the input

>tfw got mri
>have muscle atrophy between shoulder and bicep (divot)
>fucking get the distal tendon scanned instead because Pleb doctor wrote it down, they have to scan it regardless b.c its on the sheet
>tfw waited 6 months for a more than likely useless scan
>doctor on vacation till Monday, can't even get results yet and tell him he fucked up

Mother fucked this shit is unreal. I'm fairly certain my arm is getting worse and worse too. Maybe I'm imagining it, but how can I be if there is a slight physical deformity?

If its only slight yer good bro

thanks

np

:)

;)

Right: tendons for supra/infra are fine and attach where they should.They deal with abduction and lateral rotation of the shoulder respectively.

Intraosseous means "inside the bone", ganglion cyst is obviously a lump, caused by fluid filling a space.

Subscapularis is involved with medial rotation, and that's fine, tendon is where it should be.

Long biceps tendon is sitting where it should and attaches fine. You can see a separation of the labrum from the glenoid before and above the tendon. That's of no real importance.

Fluid buildup in the rotator cuff. Suggests injury to the biceps pulley: a stabiliser of the biceps between two ligaments. May have over-stressed these ligaments or some other form of injury. May require rest, but unlikely to be a *major* issue.

Biceps anchor attaches fine, you haven't taken it off the bone etc. Minimal bursal fluid suggesting no issues with the synovial joint, its not leaking or over-producing to ease friction. Alternatively it may not be producing as much as necessary, wording was a little vague there IMO.

Your biceps haven't deteriorated at all in terms of tissue mass.

Your shoulder joint has no major bony pathology issues, underside is curved but there is no spread of fluid. You haven't torn any tendons or caused tendinitis in your roator cuff. You have an early cyst in the humeral head. It is quite possible that you have injured the structures and tissues in the biceps pulley. that may be the source of your pain.

Note: Interpretation from a (relatively new) student physio background. Not a specialist.

>Fluid buildup in the rotator cuff. Suggests injury to the biceps pulley: a stabiliser of the biceps between two ligaments. May have over-stressed these ligaments or some other form of injury. May require rest, but unlikely to be a *major* issue.

Is this like inflammation too? Also is this where the long head of the biceps meets the bicipital groove?

Inflammation is usually caused as a response to either injury or infection, and results in increased bloodflow, and potentially other fluids. The buildup of fluid can place pressure on the inside of the joint which may be a factor in your persistent shoulder pain. I'm not expert, so I can't give you anything more concrete, especially without examination.

The biceps pulley is a little higher up. The groove is between the greater and lesser tubercule near the head of the humerus, where the tendon comes down between the two to allow biceps brachii to contract across the shoulder as well as the elbow. The pulley is further up in the shoulder.

This may help, has some good diagrams: pubs.rsna.org/doi/full/10.1148/rg.313105507

So in your opinion, what is the best way to heal the injury at the ligaments at the biceps pulley? Just rest? or what?

>tfw the acromioclavicular joint is unremarkable

And its weird because my pain is at the biceps tendon a the anterior part of my shoulder. Like the long head of the biceps is where ive felt it, but I guess nothing is going on there? Strange. He just gave me etodolac for inflammation at the scar tissue which might be causing it.

First you need to talk to your doctor and see what they say. I'm a student, and this is not an area I've covered in depth. I've also not had to deal with MRI's and their implications yet. I can't do any examinations, and I've got no record of your medical history or the injury, or your activities.

The biceps engages in flexion at the elbow and shoulder. It's weak and poor as a shoulder mover, but it does work there. The pulley assists in stabilising the long head tendon as a whole as it moves through the groove. If the pulley is damaged and the tendon is destabilised, potentially because of that fluid buildup inhibiting the motion of the shoulder, you could experience pain at the point you describe.

The general case scenario for now is to get some rest and ensure that swelling begins to recede before you begin things like active strengthening and ensuring your mechanics are on point. The pulley is pretty damn complex and beyond my capability to advise you safely. If you are unhappy with the doctor's advice, try and get a referral to a physio.

Yeah it is the physio that gave it to me but he didnt really mention that at all like it didnt mean anything to me. I just wanted to make sure I got better. He gave me the anti inflammatory drug and seems to think itll help so we will see. He also told me to rehab the shoulder to fix it with scapula stabilizing stuff.

Mhm, the issue with medical professionals is that they're not good at explaining it sometimes to people who haven't read the textbook for four years.

If he's giving you anti-inflammatory drugs I'm assuming he thinks it is inflammation causing poor mechanics in the shoulder which is resulting in the pain you feel in your shoulder. Inflammation of those ligaments could also compress the biceps tendon as it moves through the pulley, rather than just the presence of excess fluid, but the MRI didn't really mention anything like that.

Scap issues are pretty common, especially because they move so much. If you've got poor movement patterns with the scaps you can get impingement and stress the other tissues in your shoulder: the fact that its so complex can have a real domino-effect on the health of other tissues.

Jesus Christ yeah it sounds like it. I just dont know what to do then, all I want to do is have this bullshit heal so I can lift again. I havent even lifted in months, I just want to get normal and fit again. But I dont know what the first step is. He told me I can do anything but bench, pushups and OHP. So I guess that really limits most of what I can do, can I even do triceps without doing any of those movements? Not that I know of

Interesting advice: he doesn't want you to do any of those because they all require shoulder flexion, which is something that biceps will assist with and thus stress the tendons there.

By the same token: scapula pushups are on of the best ways to get serratus anterior working again if its weak, which is a really common cause of scap instability and 'winging'. So you'll have to do the rest and then maybe try and work your way back into it once the swelling has gone down a little.

When the swelling has decreased you can start to work your way back up into strengthening the anterior shoulder and getting the flexion back up. Unfortunately, ligaments and tendons have shitty blood flow. And shitty blood flow means shitty healing speeds.

Ask about the etodolac and the cause of the tissue injury. Etodolac is an NSAID, and NSAIDs can play havoc with your ability to repair connective tissues. It might help with breaking down scar tissue, and if that's what your physio thinks the issue is, fine. But it's potentially going to worsen the state of your connective tissues. Just ask about that, get them to give you a proper rundown on the reasoning behind the choice of drug. If you were a patient of mine, I'd have detailed that. (If you were a patient of mine though, I wouldn't have prescriptive rights so I couldn't give you Etodolac anyway as far as I'm aware).

As for tricep exercises, my recommendation would be something like cable pushdowns either using a horizontal bar or the Y-shaped bit of rope. Keep the shoulders stationary, just hinge at the elbows and push down. However during this motion biceps has to passively lengthen, which may cause you some irritation. If it does, you may need to cease doing them. Try it and see.