INTRODUCTION
When assessing rotator cuff tears on MRI, it’s important to look beyond the tendon itself. Two findings that must be assessed and included in every report are:
Both significantly influence surgical decision-making and patient outcomes.
Each finding can occur independent of the other.
Fatty infiltration = replacement of muscle fibers by fat, seen as increased T1 signal.
Rotator cuff tear evaluation on MRI must include assessment of both muscle atrophy and fatty infiltration. These findings are important prognostic indicators that directly affect surgical planning.
CORRECTION: Where I say deltoid in the video that should be trapezius 😊
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