In the sagittal plane we see some marrow edema of the posterior humeral head and there is thickening and edema of the anterior inferior capsule with mild pericapsular edema…..consistent with capsular sprain or post traumatic adhesive capsulitis (yellow arrow)
There is no glenoid marrow edema or bone loss
This Ax image shows a dot of bright signal adjacent to the anterior glenoid rim, but additional axial and coronal images show no abnormality of the glenoid
There is chondral delamination (white arrow) without a surface defect or flap with the adjacent capsular thickening, edema and pericapsular edema (yellow arrow); I don’t see a labral tear.
This Axial Oblique (Biceps Labral Oblique) plane of imaging is something my group finds particularly helpful…it can show pathology that is missed in the standard planes….much like an ABER (I know, I know…it’s different, the anteroinferior capsule is not under stress)—but without taking the patient out to reposition, scout and reimage.
Thoughts?
This is something my colleague introduced many years ago, and even after we modified the protocol through the years this is something none of us have wanted to give up.
