Presentation
Painful shoulder movements
Patient Data
Hyperintensity in the superior labrum, extending from approximately 10 to 1 o’clock position. Subtle hyperintensity in the intracapsular segment of the biceps tendon, starting from its attachment at the glenoid and extending proximally for approximately 9 mm.
Other findings:
Supraspinatus tendinosis with a partial-thickness articular surface tear of the anterior fibers at the critical zone, involving approximately 60-70% thickness.
An interstitial tear of the anterior/mid fibers of the supraspinatus tendon is also seen at the footprint, involving approximately 20-30% thickness.
Infraspinatus tendinosis is seen with a suspicious partial-thickness articular surface tear of the mid fibers at the footprint, involving approximately 10-20% thickness.
Case Discussion
Findings are suggestive of a SLAP tear. The extension into the intracapsular segment of the biceps tendon could very well represent a type 4 tear.
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