Presentation
Post-traumatic right shoulder pain and abduction weakness - few days.
Patient Data
Cortical step-off at two adjacent sites involving the inferior facet of the humeral head greater tuberosity which is the footprint for teres minor tendon insertion. Supraspinatus, infraspinatus, and teres minor tendons are intact with a normal echo pattern. A tiny echogenic focus in the subscapularis near its footprint appears to be a small calcification rather than an avulsion. Effusion with tiny echoes in the glenohumeral joint and biceps long head tendon sheath is hemorrhagic effusion.
No fracture involving superior or inferior facets of greater tuberosity.
Case Discussion
A young male presented to an orthopedic surgeon with post-traumatic shoulder pain and abduction weakness. The initial shoulder radiograph was suspicious for humeral head greater tuberosity fracture (not uploaded, no copyright). A week later, the ultrasound was done suggesting a fracture of the greater tuberosity inferior facet along with glenohumeral joint hemarthrosis.
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