Post traumatic osteolysis of outer end of clavicle

Case contributed by Dr Maulik S Patel

Presentation

Initial presentation of a 30 yo male with a 3 month history of right shoulder trauma followed by pain. No past history of similar injury.

Patient Data

Age: 30
Gender: Male

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Modality: Ultrasound

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Case Discussion

Radiograph - Irregularity of cortex and loss of bone is seen at outer end of clavicle favour ostelysis. Acromian cortex is normal.

US - Findings of radiograph are confirmed. There is distension of joint space with synovial thickening.

In view of history of trauma and radiograph - ultrasound images, post traumatic osteolysis of outer end of clavicle is most likely.

Other differentials which are ruled out includes -

  1. Rhematoid arthritis
  2. Hyperparathyroidism
  3. Multiple myeloma
  4. Metastasis
  5. Cleidocranial dysplasia
  6. Pyknodysostosis.

References :

1. Posttraumatic osteolysis of the Distal end of clavicle with emphasis on early ragiologic changes,  By Arnold H Levine, M. Joyce Pais and Emanuel E. Schwartz. Am J Roentg.nol 127:781-784. 1976.

2. Aids to Radiological differential diagnosis. 4th edition. Edited by Stephen Chapman and Richard Nakielny

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Case Information

rID: 12812
Case created: 13th Jan 2011
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

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