Massive rotator cuff tear with biceps dislocation

Case contributed by Dr Maulik S Patel

Presentation

Fall - trauma to right shoulder. Pain - restricted right shoulder movement.

Patient Data

Age: 70 years
Gender: Female
Modality: Ultrasound

Shoulder USG Cuff tear with biceps dislocation.

 

Case Discussion

In neutral  position of shoulder , long head of biceps tendon is noted anterior to subscapularis. Bicipital groove is empty.

There is absence of supraspinatous tendon at its normal location. Deltoid muscle is directed applied to head of humerus. Retracted tendon is under acromion. At least 3.4 cm of retraction was noted. This suggests  a massive cuff tear.

Partial width of infraspinatous shows tear.

No fatty infiltration / atrophy of supra or infraspinatous muscles is noted.

No bursal or joint effusion.

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Case Information

rID: 10918
Case created: 1st Oct 2010
Last edited: 8th Jan 2016
Inclusion in quiz mode: Included

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