Advanced Musculoskeletal MRI

Orthopedic MRI for Northern Virginia, Maryland, and Washington DC

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  • Age: 38 years
  • Height: 5 feet 11 inches
  • Weight: 272 lbs. (123 kg.)
  • BMI (Body Mass Index): 37.9 = obese
  • Body Part:Large size shoulder

Case #1 : Larry B.

Larry B. injured his shoulder playing rugby several years ago. He dislocated his shoulder twice over a period of several months, and now has nagging shoulder pain.

Larry was seen by his orthopedic surgeon, who referred him for a shoulder MRI. We injected his shoulder joint to distend it, and carefully adjusted the MRI parameters to his generous body size and weight.

Patients who are as large as Larry usually get poor-quality MRI scans. With Arthroscan MRI, the images are sharp and detailed. Larry’s study revealed that he had a severe partial tear of the supraspinatus tendon portion of his rotator cuff.

With this information, Larry’s orthopedic surgeon recommended surgery. Three weeks later, he was taken to the operating room. At arthroscopy, the surgeon found exactly what the Arthroscan predicted:

“I looked at the undersurface of the rotator cuff and found a very high-grade, just about complete partial tearing of the supraspinatus tendon anteriorly.”

The rotator cuff tear was repaired successfully with a Smith & Nephew Healicoil Regenesorb absorbable suture anchor. When we talked with Larry six months after surgery, he said that his shoulder is pain-free. The surgery “helped immensely”. He has cut back on his weight-lifting and pushups, which can cause his shoulder to ache if he overdoes it. Other than that, he has no limitations.

 

Note: Patient names have been modified, to protect patient confidentiality.

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