2001
DOI: 10.1007/pl00011194
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Painless Destruction of the Shoulder Joint: A Case Report

Abstract: A case of painless destruction of the shoulder joint is reported for its rarity and unusual presentation as a neuroarthropathic joint with no evidence of neurological disease. A differential diagntosis of Gorham-Stout syndrome and avascular necrosis was discussed.

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Cited by 8 publications
(2 citation statements)
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“…The precise pathogenetic cascade of events leading to massive loss of the bone substance is not well understood. The disease is not accompanied by any systemic symptoms, there is never a second osteolytic focus and, astonishingly, the function of the affected limb frequently remains remarkably good for a long period of time [14]. Another interesting feature of the disease is the tendency to involve one bone only initially and then to spread frequently -as in our case -to adjacent bones, not respecting anatomic boundaries and readily crossing articular barriers.…”
Section: Discussionmentioning
confidence: 78%
“…The precise pathogenetic cascade of events leading to massive loss of the bone substance is not well understood. The disease is not accompanied by any systemic symptoms, there is never a second osteolytic focus and, astonishingly, the function of the affected limb frequently remains remarkably good for a long period of time [14]. Another interesting feature of the disease is the tendency to involve one bone only initially and then to spread frequently -as in our case -to adjacent bones, not respecting anatomic boundaries and readily crossing articular barriers.…”
Section: Discussionmentioning
confidence: 78%
“…Certain patients have presented with a relatively abrupt onset of pain and swelling or a pathological fracture on the affected site, whereas others have presented with a history of an insidious onset of pain, limitation of motion and progressive weakness in the affected area (3). The disease is not usually accompanied by any systemic symptoms (6). In most cases, the bone resorption process may stop spontaneously, and therefore the prognosis is generally good unless vital structures are involved.…”
Section: Discussionmentioning
confidence: 99%