Abstract
A tear at the origin of the deltoid muscle is uncommon and usually occurs as a complication of shoulder surgery. We report a case of spontaneous deltoid detachment as a complication of massive rotator cuff tear in a 70-year-old woman evaluated by standard radiographs, ultrasound, arthrography and MR-arthrography. We present the multimodality imaging findings with review of the literature. We found that ultrasound is an accurate modality in detecting and assessing spontaneous detachment of the deltoid muscle. As ultrasound is a noninvasive, low-cost, and universally available imaging modality we suggest using ultrasound as the first modality for evaluation of spontaneous detachment of the deltoid muscle.
References
Samuel J, Levernieux J, de Seze S (1975) A case of rupture of the deltoid muscle. Rev Rhum Mal Osteoartic 42:769–771
Pointud P, Clerc D, Manigand G, Deparis M (1976) Spontaneous rupture of the deltoid muscle. Nouv Presse Med 5:2315–2316
Morisawa K, Yamashita K, Asami A, Nishikawa H, Watanabe H (1997) Spontaneous rupture of the deltoid muscle associated with massive tearing of the rotator cuff. J Shoulder Elbow Surg, Nov-Dec 6(6):556–558
Blazar PE, Williams GR, Iannotti JP (1998) Spontaneous detachment of the deltoid muscle origin. J Shoulder Elbow Surg, Jul-Aug 7(4):389–392
Lin JT, Nagler W (2003) Partial tear of the posterior deltoid muscle in an elderly woman. Clin J Sport Med, Mar 13(2):120–121
Allen AA, Drakos MC (2002) Partial detachment of the deltoid muscle. A case report. Am J Sports Med, Jan-Feb 30(1):133–134
Neer CS (1983) Impingement lesions. Clin Orthop Rel Res 173
Neer CS (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 54:41–50
Prato N, Bianchi S, Schiaffini E, Oliveri M, Gambaro A (1991) The Leclercq test in diagnosis of tear in the rotator cuff. Chir Organi Mov 76:73–76
Neer CS, Craig EV, Fukuda H (1983) Cuff-tear arthropathy. J Bone Joint Surg Am 65:1232–1244
Fredberg U (1997) Local corticosteroid injection in sport: review of literature and guidelines for treatment. Scand J Med Sci Sports 7:131–139
Craig EV (1986) The acromioclavicular joint cyst. An unusual presentation of a rotator cuff tear. Clin Orthop, Jan (202):189–192
Craig EV (1984) The geyser sign and torn rotator cuff: clinical significance and pathomechanics. Clin Orthop 191:213–215
Groh GI, Badwey TM, Rockwood CA Jr (1993) Treatment of cysts of the acromioclavicular joint with shoulder hemiarthroplasty. J Bone Joint Surg Am, Dec 75(12):1790–1794
Dennis DA, Ferlic DC, Clayton ML (1986) Acromial stress fractures associated with cuff-tear arthropathy. A report of three cases. J Bone Joint Surg Am, Jul 68(6):937–940
Roy N, Smith MG, Jacobs LGH (2002) Stress fracture of base of the acromion. Ann Rheum Dis 61:944–945
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Bianchi, S., Martinoli, C. & Abdelwahab, I.F. Imaging findings of spontaneous detachment of the deltoid muscle as a complication of massive rotator cuff tear. Skeletal Radiol 35, 410–415 (2006). https://doi.org/10.1007/s00256-005-0046-4
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DOI: https://doi.org/10.1007/s00256-005-0046-4