[image: 50M heavy lifting 1mo pain (4).jpg]
There is a tear at the anterior insertion of the supraspinatus tendon
[image: 50M heavy lifting 1mo pain.jpg]
[image: 50M heavy lifting 1mo pain (1).jpg]
But look where the humeral head is!
[image: 50M heavy lifting 1mo pain (2).jpg]
I know, back in the day, people asked about the capsule possibly causing
mechanical issues in the anteroinferior joint, but I recall that we all
concluded that was a BIG nothing.
Certainly there is marked posterior subluxation of the head and the capsule
seems to just be minding its own business coursing from point A to B.
[image: 50M heavy lifting 1mo pain (3).jpg]
But why is the head so subluxed?
Is there a reason to recommend arthrography, or just report what I see?
Is it possible his head is always flopping around and the new symptomati
finding is the supraspinatus tear????
Don’t think I’ve run out of questions….they’ve just been piling up.
Might be another one soon….
