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diff --git a/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html b/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html index 06080fac..8df1890a 100644 --- a/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html +++ b/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html @@ -160,7 +160,15 @@ </div> </div> <div class="post-content"> - <p>A 67-year-old man with thoracolumbar scoliosis, poor mobility, and history of frequent<br>falls presented to the emergency department with 2 months of left shoulder pain, stiff-<br>ness and reduced range of motion, and numbness and paresthesias in his left upper<br>extremity. Ten years prior to presentation, he underwent surgical decompression for<br>syringomyelia. A magnetic resonance imaging (MRI) scan of his cervical and thoracic<br>spine performed 2 years prior to presentation revealed a recurrent syrinx extending from<br>Cl C1 to T11, which was not resected because it did not cause symptoms at that time. On<br>physical examination, he had mild tenderness to palpation and reduced range of motion<br>of the left shoulder with abduction and flexion limited to 120° (normal range of motion,<br>180°). The left scapular muscles were atrophic, and pain and temperature sensation<br>were reduced in his proximal left arm, and dorsal aspect of his left shoulder. His complete<br>blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedi-<br>mentation rate were normal. Results of tests for rheumatoid factor and antinuclear anti-<br>body were negative. Left shoulder radiograph showed complete absence of the left<br>humeral head and a well-demarcated smooth osseous margin of the proximal humerus<br>with associated soft tissue swelling and periarticular calcification (Figure 1). A chest<br>radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hos-<br>pitalized for further evaluation and treatment.</p> + <p>A 67-year-old man with thoracolumbar scoliosis, poor mobility, and history of frequent falls presented to the emergency department with 2 months of left shoulder pain, stiffness and reduced range of motion, and numbness and paresthesias in his left upper extremity.</p> +<p>Ten years prior to presentation, he underwent surgical decompression for syringomyelia.</p> +<p>A magnetic resonance imaging (MRI) scan of his cervical and thoracic spine performed 2 years prior to presentation revealed a recurrent syrinx extending from Cl C1 to T11, which was not resected because it did not cause symptoms at that time.</p> +<p>On physical examination, he had mild tenderness to palpation and reduced range of motion of the left shoulder with abduction and flexion limited to 120° (normal range of motion, 180°).</p> +<p>The left scapular muscles were atrophic, and pain and temperature sensation were reduced in his proximal left arm, and dorsal aspect of his left shoulder. </p> +<p>His complete blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedimentation rate were normal.</p> +<p>Results of tests for rheumatoid factor and antinuclear antibody were negative.</p> +<p>Left shoulder radiograph showed complete absence of the left humeral head and a well-demarcated smooth osseous margin of the proximal humerus with associated soft tissue swelling and periarticular calcification.</p> +<p>A chest radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hospitalized for further evaluation and treatment.</p> <ul> <li><a href="/papers/Radiographic%20Absence%20of%20the%20Left%20Humeral%20Head.pdf">报告原档</a></li> </ul> |