PASTA Lesion

Case contributed by Domenico Nicoletti
Diagnosis certain


Persistent left shoulder pain in a rugby player.

Patient Data

Age: 40
Gender: Male

MR arthrogram


This coronal fat-suppressed T1-weighted image through the supraspinatus insertion demonstrates a contrast filled defect at the articular surface, extending for less than 50% of the thickness of the tendon.

At the level of the upper glenoid labrum is present a slap lesion type 3 (Snyder classification) with the central part dislocated in articulation.

Case Discussion

PASTA is the acronym of partial, articular, supraspinatus, tendon, avulsion also known as Rim rent tear of rotator cuff. It is usually seen in athletes as a result of a twisting and-or pulling injury of the shoulder.

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