Casuistry of the Chronic Affection of the Rotator Cuff M. Subscapularis

A hard manually working patient with a overloading of the shoulder, she complains about pains during active movements an elevation to the outer positions, at rest the pains are smaller.

Ultrasound finding of the damage of the rotator cuff

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picture and scheme of chronic changes of the rotator cuff in the area of  m. subscapularis

videosequence of chronic changes of the rotator cuff

 

 

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MRI picture of the damage of the rotator cuff in the area of m. subscapularis, an arrow shows a hyperechogenic focus which is surrounded with hypoechogenic border. This localization also exactly corresponds to an ultrasound record, and we suppose that it is the affected part of m. subscapularis.

Conclusion

Degenerative changes of the rotator cuff in the area of m. subscapularis caused by the impigement syndrome.

 

Commentary

We have to compare the ultrasound finding with the MRI examination to confirm a diagnosis, and these methods confirmed our diagnosis. We think that before an eventual operation, i.e. the MRI examination, which proves the diagnosis of the impigement syndrome, is always indicated by acromioplasty.