PASTA Lesion

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Persistent left shoulder pain in a rugby player.

Patient Data

Age: 40
Gender: Male

MR arthrogram

mri

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.

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.