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✏️ To exclude subacromial IMPACT syndrome of the shoulder, send a remote request https://vk.cc/9q2aZT for a shoulder MRI transcript (WhatsApp, Telegram, Signal, Viber +79119240455 ) for 1500 rubles in 3-5 hours to your e-mail in PDF format of the MRI report. 📥 If you need to create and send an archive of DICOM images of the shoulder MRI see the video instructions https://vk.cc/axagNI , including subacromial impingement syndrome. 🚹 From the PATIENT: "Confirmation of the hypothesis of a large pectoral muscle tear. I had a normal fall on a wet slippery floor backwards, I put my right arm out to save myself, it was pulled to the side and bent, all my weight fell on it. Immediately there was pain in the shoulder and chest area. But there was no clicking sound. Since I had already had a tear in my left pectoral muscle, I knew almost immediately that it was a tear in the pectoral muscle again, but on the right. I am attaching a photo - 36 hours after the injury. MRI also about 30 hours after the injury. No MRI transcript from the specialist." 📩 Description of the MRI of the shoulder joint at a price of 1500 rubles you will receive in time to 3-5 hours to e-mail in PDF file format, including at #ImpeachmentSyndromeBoulderSyndrome. ▶️ Advisory CONCLUSION on the submitted MRI scans of a 42-year-old patient Date of study 07-01-2023. 🔄 Study area: right shoulder joint ☎️ REQUEST the #ReprintMRI of the Shoulder with CD at +7952 289 0415 to rule out subacromial impingement syndrome. Fresh-bone traumatic and bone-destructive changes were not detected. Articular surfaces were smooth, with signs of minimal subchondral sclerosis. Insignificant amount of free fluid and fluid accumulation along the long head of the biceps were detected in the joint cavity. Hyaline cartilage of articular surfaces is traceable, unchanged. Periarticular tissues are slightly edematous. Degenerative changes in the articular lip of the scapula in the upper third are noteworthy. The tendon of the supraspinous muscle is slightly edematous. Compression of the supraspinous tendon by the clavicular-acromial junction is detected. Subacromial space is 6 mm. The tendons of the supraspinous, scapular and small round muscle were intact. MR signs of subchondral sclerosis, articular surfaces of the acromial-clavicular joint. ⏩ CONCLUSION: MR picture of degenerative changes of articular lip of the scapula according to SLAP 1 type, subacromial impingement syndrome of the right shoulder joint Consultation with a traumatologist is recommended. 📅 January 9, 2023 Associate Professor Kotov M.A. 👩👦 REVIEWS of real PATIENTS on impingement syndrome of the shoulder look at https://www.mrtvtoroemnenie.ru/otzyvy/ . 👁🗨 COMMENT from a radiologist: "To evaluate the integrity of the greater pectoralis major, you need to examine it, not the shoulder joint. The examination of the shoulder joint only shows a small portion of the greater pectoral muscle, what is in the scan area is intact. There are signs of rotator cuff compression, called #impingementSyndrome. This can cause pain in the shoulder, limitation of mobility. The articular lip of the scapula is degeneratively altered, there is SLAP 1, but it is not a rupture of the lip, its integrity is intact. There is fluid accumulation along the tendon of the long head of the biceps - this can also be an outcome of trauma and give pain in the shoulder. You need to see a trauma surgeon." ®️ The MR picture of degenerative changes of the articular lip of the scapula according to SLAP 1 type, subacromial impingement syndrome of the right shoulder joint was described in the MRI shoulder transcript by Dr. Kotov Maxim Anatolievich http://mrtktspb.ru/o-nas/vrachi/11-ko... , assistant professor of the Department of Radiation Diagnostics of I.I. Mechnikov North State Medical University, chief doctor of Ami CT Center (Saint Petersburg). Patient QUESTION: "Can you please ask a specialist to clarify. He writes: In the study of the shoulder joint, only a small part of the greater pectoral muscle is visible, what's in the scanning area is intact." Does it make sense for us to do an additional study to capture the lower part of the pectoralis major (pectoral lobe)?" 💬 ANSWER from Dr. M.A. Kotov: "An ultrasound would be better for this." 📚 See EXAMPLE DESCRIPTIONS of MRI scans of the shoulder, including for #SubacromialImpingementSyndrome at https://sites.google.com/view/mrtonli... , where you can download them. ⚠️ Subacromial syndrome, or IMPIDMENT SYNDROME, is a pathological condition in which the tendons of the shoulder rotator cuff and biceps muscles are impinged between the acromion and the head of the humerus. It manifests pain, increases restriction of movement, and decreases the strength of the shoulder muscles. WhatsApp, Viber, Telegram, Signal +79119240455