Rotator cuff arthropathy on CT

Case contributed by Dr Craig Hacking

Presentation

Pre op reverse TSR

Patient Data

Age: 80 years
Gender: Female
CT

The right glenohumeral joint shows the typical signs of rotator cuff tear arthropathy including a high riding humeral head, reduced subacromial space with acetabularisation of the acromion, femoralisation of the humeral head,  decreased joint space in the superior aspect of the glenohumeral joint with associated subchondral sclerosis and collapse of the humeral head. The acromial demonstrates increased sclerosis anteriorly. The ACJ is relatively normal.

Case Discussion

Rotator cuff arthropathy is a distinct form of shoulder OA due to deficiency of the cuff tendons.

Operative treatment is with a reverse total shoulder arthroplasty.

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Case information

rID: 41550
Published: 8th Dec 2015
Last edited: 28th Dec 2018
Inclusion in quiz mode: Included

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