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Abnormalities on MRI of the Subscapularis Tendon in the Presence of a Full-Thickness Supraspinatus Tendon Tear

Diane Bergin1, Laurence Parker1, Adam Zoga1 and William Morrison1

1 All authors: Department of Radiology, Thomas Jefferson University Hospital, 396C Main Building, 111 S 10th St., Philadelphia, PA 19107.


Figure 1
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  		Fig. 1A —60-year-old man with chronic shoulder pain and dysfunction. Sagittal T2-weighted fast spin-echo image (TR/effective TE, 5,800/80) shows full-thickness tear of supraspinatus (arrow) and subscapularis (arrowhead) tendons.

 

Figure 2
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  		Fig. 1B —60-year-old man with chronic shoulder pain and dysfunction. Axial T2-weighted fast spin-echo image (5,800/80) shows full-thickness tear of subscapularis tendon (arrowhead). Subcortical marrow edema is present in lesser tuberosity (arrow). No edema is present in coracoid process.

 

Figure 3
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  		Fig. 2A —60-year-old woman with chronic shoulder pain. Sagittal T2-weighted fast spin-echo image (TR/effective TE, 5,800/80) shows full-thickness tear of supraspinatus tendon (arrow) and partial-thickness tear of subscapularis tendon (arrowhead).

 

Figure 4
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  		Fig. 2B —60-year-old woman with chronic shoulder pain. Axial T2-weighted fast spin-echo image (5,800/80) shows partial-thickness tear of subscapularis tendon (arrow) with edema in lesser tuberosity (white arrowhead) and subluxation of biceps tendon (black arrowhead).

 

Figure 5
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  		Fig. 3A —40-year-old man with new onset of shoulder pain. Axial T2-weighted fast spin-echo image (TR/effective TE, 5,800/80) shows diffuse enlargement and edema of subscapularis tendon (arrow) consistent with tendonosis.

 

Figure 6
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  		Fig. 3B —40-year-old man with new onset of shoulder pain. Sagittal T2-weighted suppressed fast spin-echo image (5,800/80) shows full-thickness tear of supraspinatus tendon (arrow).

 

Figure 7
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  		Fig. 3C —40-year-old man with new onset of shoulder pain. Sagittal T1-weighted spin-echo image (600/16) shows loss of volume and fatty atrophy of supraspinatus muscle (arrow) with mild loss of volume of subscapularis muscle (arrowhead).

 

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