Abstract

We treated a 42-year-old woman who had an intratendinous tear of the supraspinatus tendon. Although intratendinous tears are rare in clinical reports, they are not so infrequently seen in cadaver studies. It is difficult to diagnose intratendinous tears because it cannot be confirmed by ordinary examinationas i. e. arthrography or bursography. MRI or us have been suggested as possibly useful methods for diagnosing intratendinous tears, however the diagnosis rate for incomplete tears is still low using these techniques. The diagnosis of intratendinous tear can only be made at surgery. It is important to diagnose intratendinous tears based not only on MRI or US findings but also on a carefully taken history and clinical findings i. e. limitation of range of motion, impingement signs or painful arc on active shoulder elevation.

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