MSK US of the Left shoulder indicated a sublexed long head of the bicep tendon sheath with fluid around the tendon. This fluid is most likely originating from the gleno-humeral joint as there was no tenderness to sonopalpation. A full thickness supraspinatus tear and partial thickness subscapularis tear with tendinosis of the subscapularis tendon was visualized. Additionally, a cartilage interface was sign was indicated deep to the supraspinatus tendon. Enlargement of the subacromial subdeltoid bursa was noted as well. Degeneration in the AC joint was noted with reduced joint space.
A 65 year old male presented to physical therapy after falling ascending the steps and landing on an outstretched arm. The patient had immediate pain and weakness and difficulty moving his arm for activities of daily living.
Point of care ultrasound in physical therapy can help detect the severity of patient's injury and compliance with physical therapy plan of care.
Doctor of Physical Therapy, Registered in Musculoskeletal Sonography, Certified Orthopedic Manual Therapist, Certified Lymphedema Therapist, Certified in Vestibular Assessment and Management, and Founder of Mobile Therapy Services
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