From ad8f9f55ea79a4d587aecc69698808da82de3d62 Mon Sep 17 00:00:00 2001 From: somhairle Date: Tue, 21 Apr 2026 20:40:27 +0800 Subject: 二〇二六年四月二十一日 MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit --- ...adiographic-Absence-of-the-Left-Humeral-Head.md | 28 ++++++++++++++++++++++ 1 file changed, 28 insertions(+) create mode 100644 source/_posts/Radiographic-Absence-of-the-Left-Humeral-Head.md (limited to 'source/_posts/Radiographic-Absence-of-the-Left-Humeral-Head.md') diff --git a/source/_posts/Radiographic-Absence-of-the-Left-Humeral-Head.md b/source/_posts/Radiographic-Absence-of-the-Left-Humeral-Head.md new file mode 100644 index 00000000..f0835883 --- /dev/null +++ b/source/_posts/Radiographic-Absence-of-the-Left-Humeral-Head.md @@ -0,0 +1,28 @@ +--- +title: Radiographic Absence of the Left Humeral Head +date: 2023-10-25 09:51:54 +tags: Medicine +--- + +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. + +Ten years prior to presentation, he underwent surgical decompression for syringomyelia. + +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. + +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°). + +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. + +His complete blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedimentation rate were normal. + +Results of tests for rheumatoid factor and antinuclear antibody were negative. + +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. + +A chest radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hospitalized for further evaluation and treatment. + +- [报告原档](/papers/Radiographic%20Absence%20of%20the%20Left%20Humeral%20Head.pdf) + +这里提到了一种罕见的进展性疾病, 叫Charcot肩, 是一种神经性关节病变，特点是关节迅速被破坏和相关软组织肿胀。患者通常表现为肩部逐渐增大的肿胀，可能伴有疼痛或无痛，肩部无力和活动范围减少。 +大约80%的Charcot肩患者有脊髓空洞症, 表现为脊髓中的液体充满腔体 \ No newline at end of file -- cgit v1.2.3