What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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Findings Radiographs demonstrate displacement of the bio-absorbable suture fixation device at the supraspinatus fixation site with the MRI demonstrating disruption of the supraspinatus tendon and tendon displacement/retraction. At the area of tendon disruption, there is intermediate signal tissue filling the gap. Surrounding the displaced screw in particular is a moderate amount of intermediate/high signal inflammatory tissue.
What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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What’s the Diagnosis – Case 75
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Diagnosis: Re-tear of the rotator cuff There have been many different ways in which the rotator cuff has been repaired. Recently, a double row technique with suture fixation devices has gained popularity. Bio-absorbable devices have become popular and these are said to become resorbed and have subsequent bone formation. In some individuals as in this case, there is a more prominent inflammatory response that is engendered and may cause a subsequent loosening of the fixation hardware. As relates to the determination of a re-tear, careful scrutiny is warranted. All repaired tendons have irregular or increased signal but what is important is whether or not the tendon is completely disrupted or ruptured and is there a tendon gap. Frequently, very small defects persist in a tendon without re-tear as a water tight seal may be difficult to achieve at the time of surgery. As relates to the tendon gap, this may have fluid signal intensity, but often as in this case, there is intermediate inflammatory or granulation tissue filling the gap and not simple fluid.
What’s the Diagnosis – Case 75
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