Insidious Shoulder Pain In A Young Female

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Insidious Shoulder Pain In A Young Female - Page #3

Lab Studies: Elevated anti-cyclic citrullinated peptide: 178 Elevated rheumatoid factor: 57 Antinuclear antibodies: negative Elevated C-reactive protein: 1.2 Elevated erythrocyte sedimentation rate: 28 Other Studies: Right shoulder XR: No fractures or periosteal changes. No dislocation. No soft tissue calcifications are seen. Right shoulder MRI without contrast: Extensive complex appearing fluid distending glenohumeral joint, biceps sheath and subacromial subdeltoid bursa. Suggestive of synovitis or inflammatory or crystalline arthropathy. Full-thickness defect with partial thickness undersurface tear of posterior supraspinatus tendon. Complete disruption of long head of biceps tendon. Right shoulder MRI without contrast, axial view: Case Photo #1 Right Shoulder MRI #1 - axial view Right shoulder MRI without contrast, coronal view: Case Photo #2 Right Shoulder MRI #2 - coronal view) Consultations: Orthopedic surgery Rheumatology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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