✅ Shoulder MRI/Chap 1. Rotator Cuff Part 1

[Advanced] Step 4: Confirm the Presence and Extent of Subscapularis Tears on Sagittal Images

MSK MRI 2024. 12. 9. 22:51

https://youtu.be/5GVpAklu8UE

 

MRI Review: Identifying Subscapularis Tears


✅ Understanding Rotator Cuff Anatomy

  • Subscapularis Tendon: Attaches to the lesser tuberosity, just anterior to the long head of the biceps tendon (LHB).
  • Greater Tuberosity: Divided into three facets—superior, middle, and inferior. Supraspinatus has a smaller footprint than previously believed; much of this area is occupied by the infraspinatus tendon.

 


✅ Case Review

  • Finding: Partial tear of the superior third of the subscapularis tendon (undersurface tear).
  • Typical Location: Superior-lateral edge, often progressing inferiorly.

 

✅ Why This Matters

  • Early detection is essential as these injuries can progress and impair shoulder function.
  • Sagittal imaging is particularly helpful for confirming the tear’s presence and extent.

#ShoulderMRI, #RotatorCuff, #SubscapularisTear, #RadiologyEducation, #MSKRadiology, #MRIAnatomy, #SagittalView, #Orthopedics, #RadiologyCases, #MusculoskeletalImaging

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