Injuries of the sciatic nerve are common causes of pain and limitation in the
lower limbs. Due to its particular anatomy and its long course, the sciatic
nerve is often involved in diseases of the pelvis or leg. In recent years,
magnetic resonance neurography has become established as an important tool for
the study of peripheral nerves and can be widely applied to the study of the
sciatic nerve. Therefore, detailed knowledge of its anatomy and of the most
prevalent diseases affecting it is essential to maximizing the accuracy of
diagnostic imaging.
The present report describes a case where typical findings of traumatic
glenohumeral interposition of rotator cuff stumps were surgically confirmed.
This condition is a rare complication of shoulder trauma. Generally, it occurs
in high-energy trauma, frequently in association with glenohumeral joint
dislocation. Radiography demonstrated increased joint space, internal rotation
of the humerus and coracoid process fracture. In addition to the mentioned
findings, magnetic resonance imaging showed massive rotator cuff tear with
interposition of the supraspinatus, infraspinatus and subscapularis stumps
within the glenohumeral joint. Surgical treatment was performed confirming the
injury and the rotator cuff stumps interposition. It is important that
radiologists and orthopedic surgeons become familiar with this entity which,
because of its rarity, might be neglected in cases of shoulder trauma.
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