MyPACS.net: Radiology Teaching Files > Case 792110

never visited FRAYING OF THE BURSAL SURFACE OF THE SUPRASPINATUS TENDON (PARTIAL TEAR)
Contributed by: John Hunter, Radiologist, University of California, Davis, California, USA.
History: 40 y/o male with shoulder pain.
Images:[small]larger

Fig. 1: 1COR-T2WI/fat sat

Fig. 2: 2COR-T2WI/fat sat

Fig. 3: 4COR-T1WI/fat sat

Fig. 4: 4COR-T1WI/fat sat
Diagnosis: Fraying of the bursal surface of the supraspinatus tendon.
Discussion: Note how the T1WIs miss this lesion, which relies on the fluid present in the bursa for demonstration. Since the undersurface of the cuff is intact and there is no leak of contrast into the subacromial bursa, the T1 images cannot detect the partial tear. Tendonopathy is suggested, however, on the T1WIs.
References: Source: John Hunter's MSK Teaching File: Shoulder Case 55
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Additional Details:

Case Number: 792110Last Updated: 10-20-2004
Anatomy: Skeletal System   Pathology: Trauma
Modality: MRExam Date: Access Level: Readable by all users

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