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Case of the Month

October 2018

Patient Data: Middle age male patient examined for SONOZORG a primary care ultrasound facility

Clinical Info: Shoulder pain


74670-Afbeelding1.jpg
Transverse image of the bicipital grroove


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Another transverse image of the bicipital groove


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Longitudinal image of the biceps tendon


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Another longitudinal image of the biceps tendon with the cystic looking mass anterior. Although it may look like a cyst, it is a calcification in its resorbing phase. In those cases also look for calcifying tendinosis/tendinitis elsewhere


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Transverse image of the supraspinatus tendon


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Calcific tendinosis


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This is another patient with calcifications anterior of the biceps tendon


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Transverse image of the same patient


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This is another patient with calcifications clearly in the bursa


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This is another image of the same patient with calcifications clearly in the bursa


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Longitudinal image of another patient with a calcific tendinitis in the resorbing phase don't mistake this for a tendon rupture


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Transverse image of the same patient


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This is the X ray of the shoulder of the same patient

The lesion anterior of the biceps tendon is not a cyst but a resorbing calcification in the bursa.
In case of a calcific bursitis always look for a calcific (tendinosis) tendinitis.
Calcifications in the bursa or the tendon can have very different aspects depending on the state they are in. In this case the resorbing state

For more cases of calcific bursitis and tendinitis see

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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