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Journal of Ultrasound in Medicine, Vol 14, Issue 1 7-14, Copyright © 1995 by American Institute of Ultrasound in Medicine
Sonographic findings of rotator cuff calcifications
P. U. Farin and H. Jaroma
Department of Clinical Radiology, Kuopio University Hospital, Finland.
We studied the findings and value of sonography in the diagnosis of rotator
cuff calcifications in comparison to plain radiographs. Sonograms were
correlated with plain radiographs in 951 patients. The diagnosis of rotator
cuff calcifications was made by ultrasonography in 87 and with plain films
in 93 of 951 patients. Sonography displayed two additional bursal slurry
calcifications were found on plain films. Three types of calcifications
were found with ultrasonography: (1) a hyperechoic focus with a
well-defined shadow (79%); (2) a hyperechoic focus with a faint shadow
(14%); and, (3) a hyperechoic focus with no shadow (7%). Large and slurry
calcifications and bursal calcifications were better seen with
ultrasonography, but small and more scattered deposits were better found on
plain radiographs. Sonography proved to be reliable in the detection and
localization of rotator cuff calcifications, but classification into a
formative or resorptive phase could not be done. Because of this and the
possibility of pathologic conditions of bone, plain radiographs should
always be obtained prior to doing sonography.
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