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Clinical History:
This is a 56-year-old female with a several month history of right shoulder pain. The pain started after exercise classes which involve lifting weights. The patient had no reported history of trauma.
Diagnosis:
Biceps tendon rupture
MR Technique:
3.0 T scanner (Siemens Verio) using a shoulder array coil. Image 1: axial T1 Turbo Spin Echo image with a matrix 320 (TR/TE 720/22 ms, scan time 3 min 30 sec, slice thickness 3 mm); Image 2: coronal T2 BLADE image with fat suppression (TR/TE 4910/109 ms, scan time 3 min 57 sec, slice thickness 3 mm); Image 3: sagittal T2 Turbo Spin Echo BLADE image with fat suppression and a matrix of 320 (TR/TE 4650/94 ms, scan time 3 min 40 sec, thickness 3 mm).
Imaging Findings:
Although the peripheral biceps tendon is located normally within the bicipital groove (not shown), the proximal portion is not well visualized within the rotatior cuff interval (images 1-3). These findings, along with increased signal in this distribution (images 2, 3), suggest a complete tear of the biceps tendon.
