SYMPTOMS: Patient presented with chronic shoulder pain following a motor vehicle accident.  He experienced instability and weakness. The physical examination confirmed instability as well as a unilateral weakness and limited range of motion when compared with the opposite/unaffected shoulder. A 3T MRI was ordered by his consulting orthopedic physician. High resolution images were obtained. Representative images of the study are presented below with pathology clearly labeled and annotated.

SUMMARY OF FINDINGS:

1. Mild insertional tendinosis of the deltoid.

2. Postoperative labral and capsular irregularities.

3. No acute abnormalities.

4. Buford complex and sublabral foramen.