MRI of the Rotator Cuff 

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Thanks. I'm glad this was helpful for you.

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Thank you for the feedback! Hopefully I can continue to add to the library. All the best.

Steven, I'm really happy this helped you. I hope to complete the series in the next few months and will go over partial tears as well. I hope your wife does well!

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Jeanie, Thanks for the comment. I hope your surgery went well. I am glad you found the video helpful! All the best.

Thank you Doctor for all detailed video I must say this video is encyclopaedia of shoulder anatomy .Everyone must. watch.👌👌👌👌👌

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@burtd24, A video of the biceps pulley would be a good idea. I'll add it to the "to do" list!

@bijoyshaw7777, Thanks for the feedback.

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Good morning, The labrum does play a role in helping to stabilize the ball (humeral head) on the socket (glenoid). The capsule (essentially the lining of the joint) and the ligaments attach to this location. In addition to these more static stabilizers, the shoulder joint has dynamic stabilizers. This is the function of the rotator cuff. Check out some of my other videos on that anatomy. The rotator cuff surrounds the ball and socket and compresses the ball into the socket which provides shoulder stability. Think of pushing a golf ball down into the tee. With that pressure it will be harder for the ball to roll off the tee. The rotator cuff provides that function to the glenohumeral joint.

@@JeffreyWittyMD Thank you so much. I had a rotator cuff repair about 5 years ago and now the repair is broken. Thanks again

Thanks for the comment. I do have a video on identifying tears on MRI. I go over all sorts of tear sizes and types on it. Hopefully you will find it helpful. Here is the link: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-lpfjcN4q0PM.html Cheers

We have some videos for that!

Thanks for watching, No, there are not any substantial tears on the imaging used. I do have a video demonstrating tears of various sizes on MRI... see the link below: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-lpfjcN4q0PM.html

@@JeffreyWittyMD Thank you so much, Dr. Witty. Five minutes after I wrote that message to you, I saw your other video that features the tears of various sizes. :-) Very helpful.

Sorry to hear about your shoulder. A very large rotator cuff tear with a "worn down" joint (i'm assuming this means osteoarthritis of the shoulder joint) should do very well with a reverse shoulder replacement. Good luck!

Thanks for the question, The description you provided about your MRI suggests a significant tear of the rotator cuff and biceps. That could definitely be a cause for pain and difficulty with your shoulder. However, it is very possible that you have symptoms related to your neck as well. I commonly see this in my practice. Symptoms from neck problems will commonly overlap the shoulder and, in my opinion, it is important to clarify all sources of your pain prior to making treatment decisions. It sounds like you have the right people involved (spine surgeon and a shoulder specialist). I will commonly discuss a patient with our spine surgeon to see which area needs treatment first and is more time sensitive. _________________________________________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.

@jeffreyb.wittym.d.7528 , Thank you very much sir, after meeting with both doctors, I believe we've come to a good solution. Your input is deeply appreciated!

@FlexBicep, 1. The supraspinatus is one of the four rotator cuff muscles. There is a tear described as "near full thickness". They are stating that this portion of the tendon is nearly torn from the bone. You can think of the bursa as sort of a low friction tissue layer around the rotator cuff. Bursitis refers to inflammation of this. 2. A Hill Sachs lesion is a depression in the humeral head (ball of the socket). This usually occurs when the shoulder is dislocated at some point. The anterior inferior labroligament complex is a stabilizing ligament of the shoulder. Scarring suggests prior injury such as a shoulder dislocation. 3. AC = acromioclavicular joint which is the small collar bone joint to the shoulder blade (scapula). Arthropathy = osteoarthritis which is when the cartilage end of the bone starts to wear out. Hope that helps! _______________________________________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.

Good afternoon, Yes, there is a surgery. We typically perform rotator cuff repair via arthroscopic surgery. Arthroscopic surgery is when we use small incisions and place a camera into the shoulder. Good luck with the MRI!

imjustpassinthru, Thanks for the comment. My goal in this video was to show what a normal rotator cuff looked like. I hope to get around to a video demonstrating tears on MRI as well. Trying to get videos done as soon as I can. Hopefully, I can get back to them soon!

Good question, In regards to the position of the model the video, you are correct. Because of the limitation of the model, I decided to hold it with the bottom part facing the viewer. This only serves to show how the tendons attach to the humeral head and the humeral head's relation to the glenoid on an axial view. The axial view of the MRI most closely approximated holding the model in that orientation. The orientation is still correct however. The subscapularis is to the right and the infraspinatus and teres minor to the left. When scrolling through the various images on MRI you can think of it as scrolling from top to bottom or bottom to top. Hopefully that answers your question.