Elderly male patient with history of fall on ground presents with complaint of loss of left shoulder over-head abduction. Ultrasound shows non-visualization of supraspinatus tendon meaning retaction more than 30 mm. Infraspinatous tendon is also involved in tear. There is volume loss as well as fatty infiltration involving supraspinatus and infraspinatus muscle bellies.
Asympatomatic right cuff was examined for comparision. Right cuff is normal and intact. Right supraspinatus and infraspinatus muscle bellies are normal in echopattern and bulk.