Presentation
Shoulder pain on abduction and internal rotation.
Patient Data
Age: 60
Gender: Female
From the case:
Narrowed coracohumeral distance
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T2*
Narrowed coraco-humeral distance, mild subscapularis and severe supraspinatus tendinosis. Fliud-filled subcoracoid bursa.
Case Discussion
The normal average distance between the coracoid process and the humeral head is 9-11 mm 1. A distance of 5 mm or less is highly associated with subscapularis tendinosis and tendon tears 2. The distance is better assessed in internal rotation, which isn't routine practice.
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