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Bilateral humeral head avascular necrosis

Case contributed by Dr Jeremy Jones


Bilateral shoulder pain. No recent trauma. History of ALL.

Patient Data

Age: 40 years
Gender: Female

The medial joint surfaces of both humeral heads are flattened with increased sclerosis. There is reduced joint space. The glenoid is normal.

Case Discussion

Bilateral humeral head avascular necrosis following chemotherapy treatment in a patient with ALL. Chemotherapy regimes with high dose steroids are associated with an increased incidence of avascular necrosis. This often affects the femoral heads. In this case, slightly unusually, the humeral heads are affected.

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Case information

rID: 7404
Published: 27th Oct 2009
Last edited: 12th Mar 2020
Inclusion in quiz mode: Included

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