The patient was a 16-year-old adolescent male who was referred to an orthopaedic surgeon by his pediatrician for a chief complaint of persistent right shoulder pain and crepitus that limited his ability to participate in sporting activities. The patient’s progressively worsening right shoulder pain and crepitus, despite no history of injury, was a concern. Therefore, conventional radiographs were completed, which demonstrated an area of radiolucency involving the humeral head. Due to concern for intra-articular pathology, a magnetic resonance arthrogram was ordered, which demonstrated findings consistent with an osteochondritis dissecans lesion of the humeral head.

J Orthop Sports Phys Ther 2012;42(10):886. doi:10.2519/jospt.2012.0417

KEY WORDS: arthrogram, crepitus, magnetic resonance imaging, radiography, shoulder