Rotator cuff tear

Case contributed by Dr Maulik S Patel


Right shoulder pain, abduction weakness - few wks. No trauma.

Patient Data

Age: 60 yrs
Gender: Female

Symptomatic side shows absent biceps long head tendon in bicipital groove along with fatty infiltration - volume loss of its muscle belly favoring chronic tear of long head bicpes tendon. 

Sypmtomatic side supraspinatus tendon is replaced by fluid cleft. Tendon retraction is about 37 mm. Anterior fibers of infraspinatus tendon show full thickness tear. However, posterior fibers of infraspinatus tendon are intact. 

There is mild volume loss and increased echogenesity ( fatty infiltration ) involving supraspinatus and infraspinatus muscles on sypmtomatic side.

Asymptomatic side ( Examined for comparision ) shows normal findings - intact cuff. 

Case Discussion

Ultrasound findings show multiple tendon tear involving rotator cuff. Changes in muscle bellies ( volume loss and increased echogenesity ) suggest relatively chronic pathology.

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Case information

rID: 53868
Published: 11th Jun 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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