SONOWORLD : Supraspinatus tendon tear

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Musculoskeletal/Small parts » Musculoskeletal

Supraspinatus tendon tear

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Author(s) :

Paulo Pires, MD

Presentation An 85-year-old woman presents with pain in her right shoulder. An ultrasound of the right shoulder was performed.

Caption: Longitudinal image of right shoulder

Description: Non-visualization of supraspinatus tendon and cortical irregularity of the greater tuberosity is noted.

Caption: Longitudinal image of right shoulder

Description: Anechoic fluid is seen distending the subacromial- subdeltoid bursa.

Caption: Transverse image of the right shoulder

Description: Anechoic fluid surrounding the long head of the biceps tendon is seen.

Differential Diagnosis Full-thickness supraspinatus tendon tear

Final Diagnosis Full-thickness supraspinatus tendon tear

Discussion The presence of greater tuberosity cortical irregularity and joint fluid is very important in the diagnosis of full-thickness supraspinatus tendon tear.