Missed our latest free live-stream? Catch up now on our Procedure Tips (Chris Nicholas) and Right Lower Quadrant Pain (Matt Morgan)

Full-thickness rotator cuff tears - supraspinatus and infraspinatus

Case contributed by Dr Utkarsh Kabra

Presentation

Pain in left shoulder, history of fall while running.

Patient Data

Age: 65 years
Gender: Female

Cortical irregularity, depression along greater tuberosity / posterolateral aspects of head of humerus with surrounding marrow edema.

Full-thickness tear of supraspinatus and infraspinatus tendons seen at the attachment site with retraction of torn fibers up to lateral aspects of the acromional process.

The tear measures approx. 16 mm in transverse and 20 mm in anteroposterior dimension.

Few of posterior fibers of the infraspinatus and anterior-most fibers of supraspinatus appear intact.

No significant volume loss / fatty atrophy.

Mild subscapularis tendinosis / strain seen with a focal partial bursal surface tear of superior fibers, involving approx. 20% thickness.

Tear of posterosuperior acetabular labrum seen.

Edema is seen involving an intracapsular segment of biceps tendon with possible interstitial tears. Interstitial hyperintensity is seen within biceps tendon in the bicipital groove – possibly interstitial tear / bifid tendon.

Mild thickening and hyperintensity of coracohumeral ligament are seen – possibly sprain.

Acromion is lateral downsloping, type II with a small spur at lateral aspect with eburnation along articular surfaces, mild subchondral marrow edema, joint effusion and mild surrounding soft tissue edema.

Mild joint effusion is seen with subacromial – subdeltoid and subcoracoid bursitis. 

Case Discussion

Full-thickness tears of the supraspinatus and infraspinatus tendons at their attachment site with retraction of torn fibers up to the lateral aspects of the acromial process.

PlayAdd to Share

Case information

rID: 72554
Published: 11th Dec 2019
Last edited: 13th Dec 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.