Location
Philadelphia, PA
Start Date
30-4-2025 1:00 PM
End Date
30-4-2025 4:00 PM
Description
The following case report demonstrates a common yet educational case of a rotator cuff retear. The patient was a 64-year-old R-hand dominant female with a PMH significant for T2DM, a prior R RCR with subacromial decompression, and distal clavicle excision. She presented for evaluation of R shoulder pain s/p ground-level fall on an outstretched hand. XR was negative for any acute fractures but did reveal a small subacromial osteophyte. MRI findings demonstrate a full-thickness tear of the supraspinatus tendon with evidence of underlying tendinosis. Given the patient’s active lifestyle and pain impacting her functional mobility, subacromial decompression and arthroscopic repeat RCR were pursued. The patient’s PMH, in addition to its traumatic nature, predisposed her to reinjury. However, this report also raises room for discussion regarding the benefits of subacromial decompression and distal clavicle excision in preventing further rotator cuff pathology.
Embargo Period
6-2-2025
Included in
Retear, Repair, Repeat: A Rotator Cuff Case Report
Philadelphia, PA
The following case report demonstrates a common yet educational case of a rotator cuff retear. The patient was a 64-year-old R-hand dominant female with a PMH significant for T2DM, a prior R RCR with subacromial decompression, and distal clavicle excision. She presented for evaluation of R shoulder pain s/p ground-level fall on an outstretched hand. XR was negative for any acute fractures but did reveal a small subacromial osteophyte. MRI findings demonstrate a full-thickness tear of the supraspinatus tendon with evidence of underlying tendinosis. Given the patient’s active lifestyle and pain impacting her functional mobility, subacromial decompression and arthroscopic repeat RCR were pursued. The patient’s PMH, in addition to its traumatic nature, predisposed her to reinjury. However, this report also raises room for discussion regarding the benefits of subacromial decompression and distal clavicle excision in preventing further rotator cuff pathology.