A hard manually working patient with a overloading of the shoulder, she complains about pains during active movements – an elevation to the outer positions, at rest the pains are smaller.
| Ultrasound finding of the damage of the rotator cuff |
picture and scheme of chronic changes of the rotator cuff in the area of m. subscapularis
videosequence of chronic changes of the
rotator cuff
MRI picture of the damage of the rotator cuff in the area of m. subscapularis, an arrow shows a hyperechogenic focus which is surrounded with hypoechogenic border. This localization also exactly corresponds to an ultrasound record, and we suppose that it is the affected part of m. subscapularis.
| Conclusion |
Degenerative changes of the rotator cuff in the area of m. subscapularis caused by the impigement syndrome.
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Commentary
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We have to compare the ultrasound finding with the MRI examination to confirm a diagnosis, and these methods confirmed our diagnosis. We think that before an eventual operation, i.e. the MRI examination, which proves the diagnosis of the impigement syndrome, is always indicated by acromioplasty.