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Magnetic Resonance Imaging📍 Shoulder更新于 2025-12-15影像科审核

Rotator Cuff Tear

了解 Shoulder Magnetic Resonance Imaging 影像中的 Rotator Cuff Tear,明确其含义与下一步措施。

影像表现

Magnetic Resonance Imaging Finding

Discontinuity or retraction of supraspinatus/infraspinatus tendon with fluid signal in defect; muscle atrophy or fatty change may be present.

临床意义

Causes pain and weakness; chronic tears may become irreparable.

What is a Rotator Cuff Tear?

Tear of the tendon complex stabilizing the humeral head. MRI grades partial vs full-thickness tears.

Imaging Appearance

  • Fluid-bright gap in tendon
  • Tendon retraction toward glenoid
  • Muscle atrophy or fatty infiltration on T1
  • Subacromial/subdeltoid bursal fluid

Clinical Significance

  • Influences surgical reparability and prognosis
  • Massive tears can cause pseudoparalysis

Symptoms

  • Lateral shoulder pain, weakness with overhead activity

Diagnosis

  • MRI shoulder without contrast
  • Physical tests: Jobe, external rotation strength

Treatment

  • Physical therapy, injections
  • Arthroscopic repair or debridement depending on tear

Prognosis

  • Better when repaired early; chronic retraction worsens outcomes

What Should You Do?

  1. Avoid heavy overhead lifting until evaluated.
  2. Begin rotator cuff and scapular stabilizer exercises as advised.
  3. Discuss surgical options if weakness or night pain persists.

Medical Disclaimer: Educational only; follow orthopedic guidance.

搭配化验结果解读

当影像出现 Rotator Cuff Tear 时,医生常会查看这些化验:

相关影像术语

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Rotator Cuff Tear 出现在 MRI:含义、原因与下一步