Full-thickness rotator cuff tear
This case illustrates a typical full-thickness rotator cuff tear and discusses findings, which should be included in the radiological report 1-4:
- grading of the rotator cuff tear (full-thickness, partial-thickness) including increased fluid in the subacromial/subdeltoid bursa
- the shape of the rotator cuff tear - important for the selection of the surgical technique 3
- tear dimensions including tendon retraction, Patte classification 6
- tear extension into other rotator cuff muscles or adjacent structures - in this case, the distal infraspinatus tendon
- atrophy assessed by the tangent sign 7 or by cross-sectional area 3,9
- fatty degeneration of the affected muscles (Goutallier classification) 8
- suspected cause or mechanism of the rotator cuff tear including signs of impingement, decreased acromiohumeral distance, tendon degeneration, glenohumeral instability
- other findings e.g. calcific tendinitis or excessive cystic change/erosions of the greater tubercle could affect surgical repair
- Acromiohumeral interval
- Full-thickness rotator cuff tear
- Goutallier classification of rotator cuff muscle fatty degeneration
- Patte classification of rotator cuff tendon retraction
- Rotator cuff tear
- Rotator cuff tear grading (MRI)
- Shoulder impingement
- Subacromial-subdeltoid bursa
- Tangent sign of supraspinatus muscle belly atrophy
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