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Rotator interval tear

Case contributed by Ali Abougazia
Diagnosis certain

Presentation

Pain in the left shoulder with movement. No previous trauma.

Patient Data

Gender: Female

Left shoulder

mri

The rotator cuff interval capsule between the supraspinatus and subscapularis appears thickened, edematous and lax with hyperintense T2 and PD FS signals.

The distal supraspinatus tendon as well as the tendon of long head of biceps within the rotator interval appear thickened with increased signal an all sequences. No definite interruption of their fibers.

Subchondral degenerative fatty signal is noted at the greater tubercle of humerus, related to supraspinatus tendon insertion.

Case Discussion

Rotator interval tear with tendinosis of the long head of biceps as well as mild supraspinatus tendinopathy.

Case courtesy of Dr. Mohamed El-Beialy.

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