Reason: Rotator cuff tear History: pain, decreased ROM ROTATOR CUFF: Complete tear of the supraspinatus with approximately 2.5 cm of retraction. There is extension of the tear posteriorly to involve the anterior fibers of the infraspinatus. There is also extension of the tear anteriorly to involve the posterior fibers of the subscapularis. The subscapularis tendon appears diffusely thinned likely representing chronic attritional tearing. There is marked fatty atrophy of the supraspinatus and superior subscapularis.SUPRASPINATUS OUTLET: Severe osteoarthritis affects the acromioclavicular joint with an associated large osteophyte/spur projecting from the inferior margin of the acromion process. There is a small amount of fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is degeneration/degenerative/degenerative changes affecting the glenoid labrum. There is partial thickness degeneration of the glenoid articular cartilage.BICEPS TENDON: There is complete disruption of the long head of the biceps tendon at the level of its transition from the rotator interval to the bicipital groove. The intraarticular portion of the tendon is poorly visualized likely reflecting retraction of the tendon.ADDITIONAL
1. Complete tear of the supraspinatus with retraction with extension of the tear to involve the anterior fibers of the infraspinatus and posterior fibers of the subscapularis. Marked atrophy of the supraspinatus and subscapularis muscles.2. Complete rupture of the long head of the biceps tendon with retraction.