Rotator cuff tear arthropathy

Case contributed by Assoc Prof Craig Hacking

Presentation

Pre op reverse TSR

Patient Data

Age: 80 years
Gender: Female

The right glenohumeral joint shows the typical signs of rotator cuff tear arthropathy including a high riding humeral head, reduced subacromial space with acetabularization of the acromion, femoralization 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 osteoarthritis due to deficiency of the rotator cuff tendons. Operative treatment is with a reverse total shoulder arthroplasty.

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