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

Ara Kassarjian, Martin Torriani, Hugue Ouellette and William E. Palmer

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



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  		Fig. 1 —29-year-old man with shoulder pain. Coronal oblique T2-wighted image shows infraspinatus cyst with intact infraspinatus tendon. Patient had supraspinatus tendon tear (not shown). Partial-thickness articular surface tear of supraspinatus and intact infraspinatus were confirmed at arthroscopy.

 


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  		Fig. 2A —35-year-old man with shoulder pain. Coronal oblique fat-suppressed T1-weighted image from MR arthrogram shows partial-thickness articular surface tear of supraspinatus tendon.

 


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  		Fig. 2B —35-year-old man with shoulder pain. Coronal oblique fat-suppressed T1-weighted image from MR arthrogram posterior to A shows delaminating component of tear extending into infraspinatus with intact infraspinatus tendon. Partial-thickness supraspinatus tendon tear and intact infraspinatus were confirmed at arthroscopy.

 


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  		Fig. 3A —26-year-old man with shoulder pain. Coronal oblique fat-suppressed T2-weighted image from MR arthrogram shows infraspinatus cyst.

 


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  		Fig. 3B —26-year-old man with shoulder pain. Fat-suppressed T1-weighted image from MR arthrogram in abducted and externally rotated position shows partial-thickness articular surface infraspinatus tendon tear and delaminating component of tear. Cyst appears larger than in A. Partial-thickness articular surface rotator cuff tendon tear was confirmed at arthroscopy.

 

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