Complete rupture of the subscapularis tendon

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Right shoulder pain for three months with functional limitation in adduction without trauma.

Patient Data

Age: 55 years
Gender: Female

Right shoulder

mri

There is complete rupture of the subscapularis tendon with muscle retraction. It is associated with a supraspinatus tendon pre-insertional complete lesion.

Normal humeral glenohumeral ligaments, infraspinatus and the long head biceps tendons.

Abundant joint effusion.

Case Discussion

Subscapularis muscle tendon injuries can be traumatic or degenerative and usually occur in association with other forms of disease, such as shoulder instability of the long head of biceps tendon, rotator cuff tear, humeral anterior glenohumeral dislocation.

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