Subscapularis tendon tear

Case contributed by Dr Maulik S Patel

Presentation

History of direct trauma to anterior aspect of left shoulder - 3 months. Complaining of shoulder pain.

Patient Data

Age: 55 years
Gender: Female

Plain radiograph of shoulder - No fracture ( Not uploaded, No copy right )

Ultrasound

Symptomatic side shows non-visualization of subscapularis tendon in its location. There is mild subacromial-subdeltoid bursal effusion.

Biceps tendon is intact and normal in position. Supraspinatus, infraspinatus tendons are intact. There is mild effusion in subacromial-subdeltoid bursa. Supraspinatus and infraspinatus muscle bellies show normal bulk and echopattern.

Comparison of asymptomatic (with intact subscapularis) and symptomatic side ( shows tear of subscapularis tendon).

Case Discussion

Female presented with history of direct trauma to anterior shoulder about 3 months back followed by shoulder pain. Ultrasound of left shoulder shows tear of subscapularis tendon along with mild subacromial-subdeltoid bursal effusion. Rest of the rotator cuff tendons are intact.

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