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Epiphyseal “systemic” osteonecrosis of humeral head

Authors:

M Kahloune ,

Department of Radiology, Cliniques Universitaires St-Luc, Brussels, Belgium, BE
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B Dallaudière,

Department of Radiology, Cliniques Universitaires St-Luc, Brussels, Belgium, BE
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P Omoumi,

Department of Radiology, Cliniques Universitaires St-Luc, Brussels, Belgium, BE
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B Vande Berg,

Department of Radiology, Cliniques Universitaires St-Luc, Brussels, Belgium, BE
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F Lecouvet,

Department of Radiology, Cliniques Universitaires St-Luc, Brussels, Belgium, BE
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A Larbi

Department of Radiology, Cliniques Universitaires St-Luc, Brussels, Belgium, BE
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Abstract

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.

How to Cite: Kahloune M, Dallaudière B, Omoumi P, Berg BV, Lecouvet F, Larbi A. Epiphyseal “systemic” osteonecrosis of humeral head. Journal of the Belgian Society of Radiology. 2014;97(1):48. DOI: http://doi.org/10.5334/jbr-btr.16
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Published on 01 Jan 2014.
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