Partial Articular-sided Supraspinatus Tendon Tear/avulsion (pasta)
 

Author: Steven Gawrys, DO
Affiliation: University of Florida
Co Author(s): Christian Prat B.S. Manuel Britto M.D.
Senior Editor: Derek Stokes, MD

Clinical Vignette: A 39-year-old male presents with 3 years of left shoulder pain without a specific mechanism of injury or history of surgery. Pain is localized to the anterolateral aspect of the left shoulder and is exacerbated by overhead and reaching movements. His physical exam is significant for left shoulder abduction strength 5-/5 and a positive O'Brien test. Symptoms have been refractory to formal therapy, guided home exercises, Tylenol, and NSAIDs. He has also received 2 prior subacromial bursa corticosteroid injections and one leukocyte-poor platelet rich plasma injection with only short-term symptom relief. He endorses continued difficulty performing his work and activities of daily living.

Type of Probe Used: Linear transducer at 10Hz.



Unlabeled long axis view of the posterior supraspinatus at the articular surface.


Labeled long axis view of the posterior supraspinatus at the articular surface with increased thickness of the tendon (approximately 4.9 mm) and no discrete tears.


Labeled long axis view of the anterior supraspinatus tendon at the articular surface with a small anechoic defect at the insertion consistent with a partial-thickness partial-width articular sided supraspinatus tendon tear.


Unlabeled long axis view of the anterior supraspinatus tendon at the articular surface.


Labeled short axis view of the anterior supraspinatus tendon at the articular surface with a small anechoic defect at the insertion, lateral to the long head of biceps tendon consistent with a partial-thickness partial-width articular sided supraspinatus tendon tear.


Unlabeled short axis view of the anterior supraspinatus tendon at the articular surface.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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