Introduction Radiographic findings of the shoulder joint have been reported in patients with rotator cuff tear, greater tuberosity changes are among the most reported. The aim of this work is to assess the greater tuberosity sclerosis as a radiographic sign of rotator cuff tear and its relation to the tear size. Patients and methods This study was conducted from July 2009 until May 2013 in a retrospective fashion and included 425 patients, 250 females (58.8%) and 175 males (41.2%). Results Sclerosis was detected in 398 cases out of 425 patients (93.6%). Of those, 360 (90%) were found to have a tear of the rotator cuff documented on M.R.I. Also greater tuberosity sclerosis being more prominent with large-sized tears. One hundred (23.5%) patients had been operated arthroscopically and a tear documented intraoperatively (Table 2). Conclusion Greater tuberosity sclerosis has both high sensitivity and positive predictive value for rotator cuff tear. Also greater tuberosity sclerosis is found more with large-sized rotator cuff tears.
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