Supraspinatus tendon tear - arthrographic diagnosis
Chronic shoulder pain ? capsulitis. For hydrodilatation
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Contrast leak through a full-thickness supraspinatus tendon tear - this is the "old fashion" way of diagnosing this pathology. One can observe the markedly distended subacromial/subdeltoid bursa whilst the arrow points to a defect in the supraspinatus tendon with contrast leak into the subacromial bursa. Hydrodilatation will not be successful at alleviating symptoms as the injected fluid decompresses immediately from the joint into the bursa leading to bursal distension.