Female 66 years old Reason: cuff tear History: pain ROTATOR CUFF: There is complete full thickness tearing of the supraspinatus muscle. There is also full thickness tearing of the infraspinatus muscle. There may be some intact anterior fibers. There is fraying and irregularity of the torn tendon fibers which demonstrate background tendinosis. There is retraction of approximately 3.6 cm. There is complete full thickness tearing of the subscapularis tendon. The teres minor muscle and tendon are unremarkable. There is marked edema within and atrophy of the supraspinatus, infraspinatus and subscapularis muscles.SUPRASPINATUS OUTLET: There are severe degenerative changes of the acromioclavicular joint with marked synovial hypertrophy. Note is made of an os acromiale.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is a high riding humeral head. There is diffuse fragmentation of the labrum and loss of the normal articular cartilage.BICEPS TENDON: There is complete full thickness tearing of the long head of biceps tendon with the retracted tendon identified at the level of the humeral neck.ADDITIONAL
1. Complete full thickness rotator cuff tear as described above with retraction of approximately 3.6 cm.2. Complete full thickness tearing of the long head of biceps tendon with retraction.2. Diffuse fragmentation of the the glenoid labrum with associated loss of the normal articular cartilage.3. Other findings as above.