Paget disease - humerus

Case contributed by Daniel J Bell
Diagnosis certain

Presentation

Right shoulder pain ?cause

Patient Data

Age: 70 years
Gender: Male

Right shoulder radiograph

x-ray

Diffuse and severe cortical thickening of the right humerus with general heterogeneity of the bony texture. No pathological fractures. Appearances are typical for Paget disease.

Case Discussion

The humerus is less affected by Paget disease than many bones:

  • pelvis (72% patients)
  • lumbar spine (58%)
  • femur (55%)
  • thoracic spine (45%)
  • skull (42%)
  • tibia (35%)

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