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Musculoskeletal » Shoulder
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.
 
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