Full Thickness Rotator Cuff Tear and Paralabral Cyst

Full Thickness Rotator Cuff Tear and Paralabral Cyst

Clinical information

The patient presents to diagnostic musculoskeletal ultrasound for pain-free shoulder weakness following an episode of shoulder pressing 2 weeks prior. The patient denies any radicular upper extremity symptoms or neck pain at this point in time. Shoulder weakness on physical exam was isolated only to external rotation.

Brief description

Diagnostic musculoskeletal ultrasound located full thickness tears in the supraspinatus and subscapularis with a subluxed long head of biceps medially over the lesser tuberosity. There is a paralabral cyst noted at the spinoglenoid notch compressing into the suprascapular nerve.

Ultrasound Images & Clips

LH of Biceps SAX
LH of Biceps SAX
LH of Biceps SAX
LH of Biceps SAX
LH of Biceps LAX
LH of Biceps LAX
Subscapularis LAX
Subscapularis LAX
Subscapularis SAX
Subscapularis SAX
Supraspinatus LAX
Supraspinatus LAX
Supraspinatus SAX
Supraspinatus SAX
SAX Deltoid and Infraspinatus
SAX Deltoid and Infraspinatus
Infraspinatus LAX
Infraspinatus LAX
Paralabral Cyst
Paralabral Cyst
Paralabral Cyst
Paralabral Cyst
Shoulder External Rotation AROM
PDI with Paralabral Cyst

Conclusion

Diagnostic musculoskeletal ultrasound was able to locate the source of the patient's pain-free shoulder weakness and guide medical decision making for the management of the patient's sympotms.

Details

  • Sex: Male
  • Age: 75
  • Body part: Right Shoulder