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Ultrasound
Diagnosis
Musculoskeletal
Tendon Disorders
Rotator Cuff/Biceps Tendon Tear
Rotator Cuff/Biceps Tendon Tear
Esther H. Y. Hung, MBChB, FRCR, FHKCR, FHKAM (Radiology); James F. Griffith, MD, MRCP, FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Diagnostic Checklist

        TERMINOLOGY

        • Definitions

          • Complete tear: All fibers of tendon are torn
          • Partial tear: Some fibers of tendon are torn
            • Full-thickness tear: Tear involves only part of tendon (e.g., anterior, mid-, or posterior supraspinatus fibers)
            • Partial-thickness tear: Tear involves only part of tendon depth (e.g., bursal surface, intrasubstance, articular surface tear)
              • Intrasubstance tear does not extend to bursal or articular surface (not seen at arthroscopy)
          • Massive tear: Complete tear of supraspinatus and infraspinatus tendons

        IMAGING

        • General Features

          • Radiographic Findings

            • MR Findings

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Lee MH et al: Comprehensive shoulder US examination: a standardized approach with multimodality correlation for common shoulder disease. Radiographics. 36(6):1606-1627, 2016
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Diagnostic Checklist

                                          TERMINOLOGY

                                          • Definitions

                                            • Complete tear: All fibers of tendon are torn
                                            • Partial tear: Some fibers of tendon are torn
                                              • Full-thickness tear: Tear involves only part of tendon (e.g., anterior, mid-, or posterior supraspinatus fibers)
                                              • Partial-thickness tear: Tear involves only part of tendon depth (e.g., bursal surface, intrasubstance, articular surface tear)
                                                • Intrasubstance tear does not extend to bursal or articular surface (not seen at arthroscopy)
                                            • Massive tear: Complete tear of supraspinatus and infraspinatus tendons

                                          IMAGING

                                          • General Features

                                            • Radiographic Findings

                                              • MR Findings

                                                • Ultrasonographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          • Microscopic Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Lee MH et al: Comprehensive shoulder US examination: a standardized approach with multimodality correlation for common shoulder disease. Radiographics. 36(6):1606-1627, 2016