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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 3 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 3

From: The effectiveness of combined CT arthrography and sub-acromial bursography as a novel modified technique in characterization of rotator cuff tears

Fig. 3

A 53 years old female patient complained from long-standing left shoulder weakness and pain increased on lifting or rotating her arm. Coronal oblique CT arthrographic images (a, b) demonstrate intermediate articular surface supraspinatus tendon tear (white arrow) and medial articular surface infraspinatus tendon tear (dashed black arrow). Axial (c, d) images show complexity and irregularity of both tears; the subscapularis tendon shows extensive partial thickness tear with dislocated biceps lone head tendon (dashed white arrow) and empty biceptal groove (star). Sagittal oblique (e) image show how contrast within the SA-SD bursa could highlight the bursal surface of the rotator cuff allowing for accurate measurement of thickness of the tear. Arthroscopic image (f) demonstrates large articular surface tear (area between brackets) through the supraspinatus tendon, with irregular edge (arrows)

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