| Autor: |
M Kahloune, B Dallaudière, P Omoumi, B Vande Berg, F Lecouvet, A Larbi |
| Jazyk: |
angličtina |
| Rok vydání: |
2014 |
| Předmět: |
|
| Zdroj: |
Journal of the Belgian Society of Radiology, Vol 97, Iss 1 (2014) |
| Druh dokumentu: |
article |
| ISSN: |
2514-8281 |
| DOI: |
10.5334/jbr-btr.16 |
| Popis: |
A 47-year-old man presented to the Emergency department for a strong right shoulder pain with functional disability. This pain had evolved for a few weeks, without traumatic notion and in clear worsening in spite of regular taking of antalgics. The shoulder stump palpation woke the pain. The patient’s medical history included non-insulin-dependent diabetes, osteoporosis, and stomach ulcer. We also noted an important ethylic and smoking intoxication. A right shoulder radiography was performed (Fig. A) that showed osteonecrosis of the humeral head associating a wide heterogeneous change centered on the epiphysis encircled by a border sclera with an irregular aspect of subchondral bone and collapse of the head. The patient was sent to orthopaedic surgery consultation. CT-arthrography (Fig. B, C) showed a subchondral dissection with an osteocartilaginous fragment (arrows) of practically 2 cms in the upper joint recessus but rest exceptionally attached to the humeral head. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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