Thursday, June 21, 2018

Rupture of the biceps tendon and rotator cuff tears

These authors evaluated 20 men and 7 women (mean age 61 years) with acute proximal biceps tendon using MRIs of the affected shoulder.  

93% of patients had evidence of rotator cuff disease, including 13 full-thickness tears. Of the full-thickness tears, 3 were small, 6 medium, 2 large, and 2 massive. Pathology of the subscapularis tendon was identified in 7 patients (26%).

The majority of patients had with full-thickness tears of the supraspinatus. 

Comment: The association between pathology of the biceps and pathology of the cuff is well recognized. At present is not know if one causes the other or if both result from an underlying vulnerability to soft tissue failure in the shoulder
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