Greater tuberosity avulsion fracture and superior labral anterior posterior tear

Case contributed by Luu Hanh
Diagnosis almost certain

Presentation

Trauma shoulder

Patient Data

Age: 55 years
Gender: Female

Avulsion fracture of the greater tuberosity at the site of supraspinatus insertion.

Avulsion fracture of the greater tuberosity at the supraspinatus tendon insertion site with underlying bone marrow edema.

Hyperintense signal area within the subscapularis and supraspinatus tendons consistently with partial-thickness rotator cuff tear.

Detachment of the superior labrum and biceps anchor from the underlying superior glenoid suggests superior labral anterior posterior tear type II.

Subdeltoid effusion as well as around the long head of the biceps tendon.

Case Discussion

MRI findings are in keeping with supraspinatus tendon avulsion fracture and SLAP tear.

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