Rotator cuff athropathy

Case contributed by Yahya Baba
Diagnosis certain

Presentation

Chronic right shoulder pain with restricted motion.

Patient Data

Age: 85 years
Gender: Female
x-ray
Frontal
AP external
rotation
AP internal
rotation
Lateral
Frontal
Show annotations
Download
Info
  • decreased acromiohumeral interval

  • glenohumeral joint osteoarthritis

  • remodeling of the coracoacromial arch and the inferior surface of the acromion

  • decreased bone mineral density

  • large shoulder joint effusion

mri
This study is a stack
Coronal T2
fat sat
This study is a stack
Sagittal
T2 fat sat
This study is a stack
Axial T2
fat sat
This study is a stack
Sagittal
T1
This study is a stack
Axial
T1
Show annotations
Download
Info
  • full-thickness rupture of the supraspinatus and infraspinatus tendons with grade 3 fiber retraction of the Patte classification

  • superior full-thickness delamination tear of the subscapularis tendon

  • partial thickness tear of the long head of the biceps tendon

  • the teres minor tendon is unremarkable

  • massive joint effusion

  • glenohumeral joint space narrowing, subchondral cysts, and osteophytosis

  • massive fatty degeneration of the supraspinatus and infraspinatus muscles (grade 4- Goutallier classification)

Post operative follow-up

x-ray
Frontal
Lateral
Frontal
Show annotations
Download
Info

The glenosphere (glenoid prosthesis) and metaglene (humeral part of the prosthesis) are unremarkable.

There are no signs of prosthetic loosening.

Case Discussion

The patient seems to exhibit rotator cuff arthropathy, likely caused by a massive rotator cuff tear accompanied by extensive degenerative changes throughout the joint. Interestingly, no superior migration of the humeral head is currently observed due to the massive effusion.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

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

 Thank you for updating your details.