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Transmural supraspinatus tendon tear caused by suture anchor tip 19-month postacromioclavicular joint stabilisation
  1. Manuel Waltenspül,
  2. Karl Wieser and
  3. Samy Bouaicha
  1. Department of Orthopedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008 Zurich, Switzerland
  1. Correspondence to Dr Manuel Waltenspül; manuel.waltenspuel{at}


Rotator cuff injuries present rarely in paediatric patients due to the tendon strength at this age. There are reports of ruptures caused by either irritation of the lateral clavicle or acromioclavicular (AC) joint in fractures or after usage of hook plates. In this case report, we present a patient with an acute complete supraspinatus rupture caused by a suture anchor tip from a previously performed AC joint stabilisation. After the diagnosis of a new complete supraspinatus, the causative prominent suture anchor was removed, and the tendon subsequently repaired. This case highlights the close anatomic relation of the AC joint and the rotator cuff, which is imperative to adequately address in injuries to this anatomical location.

  • orthopaedics
  • general surgery
  • orthopaedic and trauma surgery

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  • Contributors MW: Planning, conduct, reporting, conception and design, acquisition of data or analysis and interpretation of data, manuscript, correspondence. KW: Planning, supervision, layout and correction, literature. SB: Idea, surgery, supervision, correction manuscript. All authors have made substantial contributions to all of the following: (1) the conception and design of the study, or acquisition of data, or analysis and interpretation of data, (2) drafting the article or revising it critically for important intellectual content, (3) final approval of the version to be submitted, (4) being accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.