Presentation
Trauma.
Patient Data
Age: 40 years
Gender: Male
From the case:
Subscapularis tendon tear
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- mild joint effusion
- full-thickness subscapularis tendon tear associated with the reaction of subscapularis musculotendinous junction and muscle fibers
- edema and fluid signal at the site of subscapularis tendon tear
- medially dislocated long head of biceps tendon
- fluid signal within the long head of biceps tendon sheath
- focal articular side partial tear along with supraspinatus tendon anterior fibers
- subacromin subdeltoid bursa
- mild capsular hypertrophy along with acromioclavicular joint
- acromion type II
Case Discussion
Subscapularis tendon tear is a less common rotator cuff tear. Accurate pre-operative diagnosis is important as it affects the surgical approach, and delayed/missed treatment can result in poor functional outcomes compared to earlier diagnosis.