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Emergency Radiology

, Volume 26, Issue 3, pp 257–262 | Cite as

Bursal lipohematoma: a CT sign of full thickness rotator cuff tear in patients with proximal humerus fractures

  • Yogesh Sean GuptaEmail author
  • Stephen Ling
  • Omer Awan
  • Padmaja Jonnalagada
  • Sarah Fenerty
  • Sayed Ali
Original Article
  • 59 Downloads

Abstract

Purpose

The main purpose of the study is to determine if the presence of a particular computed tomography (CT) imaging finding, a bursal lipohematoma, portends the presence of a concomitant rotator cuff tear (RCT) in patients with proximal humerus fractures by reviewing previous CTs.

Methods

Three hundred eighty-six CT scans were retrospectively reviewed by two board-certified radiologists to determine the presence of a proximal humerus fracture and to assess for the presence of a subacromial/subdeltoid or subcoracoid bursal hematoma. The medical record including operative documentation was then examined in the patients with proximal humerus fractures, with or without a concomitant bursal lipohematoma.

Results

Of the surgically managed patients, four had an intraoperative diagnosis of RCT. The preoperative CT scans of all of these patients demonstrated a bursal lipohematoma. Additionally, a non-surgically managed patient with a subacromial/subdeltoid bursal lipohematoma on CT scan was found to have a RCT on subsequent MRI. Of note, a rotator cuff tear was not documented in operative reports of patients with CT scans that were not found to contain a bursal lipohematoma.

Conclusions

Bursal lipohematoma is a potentially useful preoperative CT sign of full thickness rotator cuff tear in patients with proximal humerus fractures, providing the clinician with more information in the optimization of the management approach.

Keywords

Proximal humerus Fracture Bursal lipohematoma Rotator cuff 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© American Society of Emergency Radiology 2019

Authors and Affiliations

  • Yogesh Sean Gupta
    • 1
    Email author
  • Stephen Ling
    • 1
  • Omer Awan
    • 1
  • Padmaja Jonnalagada
    • 1
  • Sarah Fenerty
    • 1
  • Sayed Ali
    • 1
  1. 1.Temple University HospitalPhiladelphiaUSA

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