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Intramuscular Rotator Cuff Cysts: Association with Tendon Tears on MRI and Arthroscopy

Division of Musculoskeletal Radiology, Department of Radiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114.

OBJECTIVE. This study was designed to explore the relationship between intramuscular cysts and rotator cuff tendon tears.

CONCLUSION. Intramuscular cysts are strongly associated with rotator cuff tendon tears. Identification of such a cyst should prompt a search for a rotator cuff tear. Findings on MR arthrography and surgery suggest that a delaminating component of the rotator cuff tear may lead to the development of these cysts and may explain the occasional discrepancy between location of tears and location of cysts.

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