Presentation
Chronic shoulder pain with limited movements.
Patient Data
full-thickness tear of the supraspinatus tendon critical zone fibers associated with the retraction and abnormal orientation of the superior portion of torn fibers, making a two-layered structure of the supraspinatus tendon on coronal and sagittal images
abnormal intrasubstance increased fluid signal and thickening along with supraspinatus tendon posterior fibers, infraspinatus, and subscapularis tendons, as well as the long head of the biceps tendon related to tendinosis
mild effusion at the glenohumeral joint and subacromial/subdeltoid bursa
mild capsular hypertrophy and degenerative changes along with AC joint
type II acromion
Case Discussion
The findings are compatible with a Fosbury flop tear of the supraspinatus tendon, and the accumulation of fluid in the subacromial bursa supports the diagnosis.
Unable to process the form. Check for errors and try again.