Rotator cuff tear

Case contributed by Maulik S Patel , 26 May 2012
Diagnosis almost certain
Changed by Tom Foster, 5 Feb 2021

Updates to Study Attributes

Findings was changed:

There is a fluid filled defect replacing the entire full thickness and entire width of the right supraspinatus suggesting a tear. The defect length or retraction is 30 mm.

RestThe rest of the right rotator cuff tendons are intact. 

Right supraspinatus and infraspiantusinfraspinatus muscle bellies show normal volume without fatty infiltration.

Asymptomatic left shoulder was examined for comparison: full thickness tear of supraspinatus present.

Updates to Case Attributes

Body was changed:

Findings of post traumatic-traumatic right supraspinatus tendon complete ( full(full thickness and full width) tear with 30 mm retraction.  There is no atrophy or fatty infiltration of the right supraspinatus muscle; suggesting that the tear is a recent event.

Doing ultrasoundUltrasound of contra-lateralthe contralateral shoulder; may or may not be part of your protocol. However, when there is a large tear like this ( 30(30 mm retraction),  contralateralcontralateral cuff is more likely to show pathology mainly in the tear age group ( > 50 yrs>50 years of age). In this case, there was a tear of the left supraspinatus. 

  • -<p>Findings of post traumatic right supraspinatus tendon complete ( full thickness and full width ) tear with 30 mm retraction.  There is no atrophy or fatty infiltration of right supraspinatus muscle; suggesting that tear is recent event.</p><p>Doing ultrasound of contra-lateral shoulder; may or may not be part of your protocol. However, when there is a large tear like this ( 30 mm retraction ),  contralateral cuff is more likely to show pathology mainly in tear age group ( &gt; 50 yrs age ). In this case, there was tear of left supraspinatus. </p>
  • +<p>Findings of post-traumatic right supraspinatus tendon complete (full thickness and full width) tear with 30 mm retraction.  There is no atrophy or fatty infiltration of the right supraspinatus muscle suggesting that the tear is a recent event.</p><p>Ultrasound of the contralateral shoulder may or may not be part of your protocol. However, when there is a large tear like this (30 mm retraction), contralateral cuff is more likely to show pathology mainly in the tear age group (&gt;50 years of age). In this case, there was a tear of the left supraspinatus. </p>

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