Subcoracoid impingement with partial subscapularis tendon tear

Case contributed by Dr Ahmed Abd Rabou

Presentation

Shoulder pain with limited flexion and history of previous shoulder dislocation reduced manually.

Patient Data

Age: 40
Gender: Male

Narrow coraco-humeral distance measuring 8.5 mm (Normal > 10 mm) which predispose to subcoracoid impingement and subscapularis tear.

There is partial subscapularis tear , subcoracoid bursitis and moderate joint effusion extending along the long head of biceps tendon sheath.

Os acromiale (normal variant) is noted.

Case Discussion

Impingement of subscapularis tendon between the coracoid process and humeral head. Trauma and narrow coraco-humeral distance are risk factors.

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Case Information

rID: 22600
Case created: 9th Apr 2013
Last edited: 24th Apr 2017
Inclusion in quiz mode: Included

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