✅ Dr. Slothic Notes

📌 Mild Tendinosis Is Not Normal: Don’t Miss the Subtle Signs

MSK MRI 2025. 12. 25. 12:25

https://youtube.com/shorts/GHxkDE8POx8

 

Mild Tendinosis — Key Imaging Features (No Tear)

  • Increased intrasubstance signal
    (↑ T2 / PD signal, but not fluid-like)
  • Mild tendon thickening
  • Preserved fiber continuity
  • No fluid cleft
  • No fiber attenuation or discontinuity
  • ± Minimal peritendinous or bicipitoradial bursal fluid
  • ± Enthesopathic change at the insertion

👉 Important point:
This tendon is not normal, but it is not torn.


Tendinosis vs Tear — Practical MRI Distinction

  • Tendinosis
  • Tear

Clinical Meaning

  • Reflects chronic overuse and degenerative change
  • Most cases → conservative treatment
  • However:
    Persistent degeneration may progress to partial or complete tear
  • Early recognition helps risk stratification and follow-up planning

Take-home Message

Not normal.
Not a tear.
But definitely not something to ignore.

Subtle tendinosis matters.


#mildtendinosis, #tendinosis, #musculoskeletalmri, #mskradiology, #subtlesigns, #tendinopathy, #elbowmri, #distalbiceps, #radiologyeducation, #dontmissit, #Vibecase


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