DOI: A Case Study

MRI of the right shoulder dated 07/20/2017 revealed a near full-thickness tear of the supraspinatus tendon with a thin portion of the bursal surface intact. There was an associated tendinosis. There was a SLAP tear of the labrum, as well as, the anterior inferior labral tearing with a possible bony or hyaline cartilage injury. There was infraspinatus and subscapularis tendinosis without evidence of a tear, retraction, or atrophy. MRI post arthrography was recommended for further evaluation.

DOI: 9/12/2015. Patient is a 41-year old male service technician who sustained injury to his lower back when he fell 3 feet backwards off a ladder. Per OMNI, he was initially diagnosed with sprain to the lower back and right shoulder.

DOI: 5/11/2015. The patient is a 39-year-old right hand dominant female x-ray technician who sustained a work-related injury to her right shoulder when she was checking a patient's height. As per OMNI, the patient was diagnosed with right shoulder bicipital tendinitis and impingement syndrome.

DOI: 10/6/2015. Patient is a 40-year-old right hand dominant female production employee who sustained a work-related injury to her neck, left shoulder and right hand from packaging work.

MRI of the right shoulder obtained on 01/09/16 revealed a complete supraspinatus tendon rupture with tendon retraction to the level of the mid humeral head. There is a suspicion for full-thickness tears involving anterior substance infraspinatus tendon at the junction with the supraspinatus tendon. There is an underlying infraspinatus distal tendinosis. There is volume loss of the supraspinatus and infraspinatus muscles with mild edema in the infraspinatus muscle. Moderate subacromial/subdeltoid bursal fluid is seen contiguous with joint fluid through the supraspinatus tendon tear defect. There is osteoarthrosis of the acromioclavicular joint. Heterogeneity of the intraarticular long head biceps tendon segment is seen likely due to motion artifacts positive/negative tendinosis.

MRI study of the left knee doted 07/26/15 revealed Grade Ill type tear of posterior horn of medial meniscus and anterior horn of the lateral meniscus. There is thinning and splaying of the anterior cruciate ligament joint. However, there appears to be intact fibers. There is thickening and intermediate signal of the posterior cruciate ligament (PCL), which may represent a chronic partial tear versus tendinopathy. Mild Grade I sprain of medial collateral

DOI: 2/3/1999. Patient is a 69-year-old male telephone sales representative who sustained a work-related injury to his knee when a co-worker came up behind him and knocked his knee to his. As per OMNI, an AME with Dr. Sommer dated 06/04/2001 noted that future medical care includes physician visits 3-4 times a year, pain and anti-inflammatory medications, gym membership, and epidural injections for back or possible nerve block. No treatment was noted to be needed for the psyche.

Based on the latest medical report dated 12/28/15, the patient reports right medial knee pain, described as aching and frequent. Associated symptoms

Based on the medical report dated 04/11/16, the patient presents for follow-up of his left rotator cuff tendonitis. He has

#3was confirmed on 8/7/2013 MRI Result: Partial Thickness undersurface tears of the distal supraspinatus tendon. But TM’s been avoiding the issues to avoid the possible surgical procedure.

MRI of shoulder joint without contrast dated 3/10/16 revealed fibrocartilaginous Bankaart lesion with adjacent chondral defect, no evidence of glenoid fracture or glenoid defieciency, Hill-Sachs deformity, and no evidence for rotator cuff tear or biceps tear.

IW was diagnosed with right shoulder 75% thickness tear of the rotator cuff tendon, right carpal tunnel syndrome, right ulnar nerve entrapment and right dorsal wrist pain. It was noted that the patient is pending endoscopic carpal tunnel release of the right wrist.

MRI of the right wrist performed on 06/17/15 revealed mild extensor carpi ulnaris (ECU) tendinosis with a chronic appearing intrasubstance tear.

DOI: 2/25/2016. The patient is a 38-year old male full-time lot attendant/porter who sustained a work related injury to his left knee due to twisting knee while walking down ramp after parking car. The patient is subsequently diagnosed with sprain of unspecified site of left knee, subsequent encounter. As per office notes dated 7/22/16, the patient returns for a follow up. The patient states that since the last visit, he stayed the same. He rated his pain as 3. Then patient is taking his medications as prescribed. He notes no adverse medication reaction or side effects. The patient is currently working at full duty. Physical examination revealed that the [patient appears to be in mild pain. Left knee examination revealed that superficial swelling

DOI: 5/2/2016. Patient is a 43-year-old female production worker who sustained injury while she was pulling a coil stacked in a machine when she slipped and fell. Per OMNI entry, she was initially diagnosed with strain to the upper back and right shoulder.