Presentation
Chronic right shoulder pain with restricted motion.
Patient Data
decreased acromiohumeral interval
glenohumeral joint osteoarthritis
remodeling of the coracoacromial arch and the inferior surface of the acromion
decreased bone mineral density
large shoulder joint effusion
full-thickness rupture of the supraspinatus and infraspinatus tendons with grade 3 fiber retraction of the Patte classification
superior full-thickness delamination tear of the subscapularis tendon
partial thickness tear of the long head of the biceps tendon
the teres minor tendon is unremarkable
massive joint effusion
glenohumeral joint space narrowing, subchondral cysts, and osteophytosis
massive fatty degeneration of the supraspinatus and infraspinatus muscles (grade 4- Goutallier classification)
The glenosphere (glenoid prosthesis) and metaglene (humeral part of the prosthesis) are unremarkable.
There are no signs of prosthetic loosening.
Case Discussion
The patient seems to exhibit rotator cuff arthropathy, likely caused by a massive rotator cuff tear accompanied by extensive degenerative changes throughout the joint. Interestingly, no superior migration of the humeral head is currently observed due to the massive effusion.
Unable to process the form. Check for errors and try again.