J Rheum Dis.  2014 Feb;21(1):40-42. 10.4078/jrd.2014.21.1.40.

Osteonecrosis of the Humeral Head after Cerebral Angiography

• Yoo IS
• Park CK
• Kim Y
• Song ST
• Choi SW
• Kim JH
• Kang SW

• KMID: 2222988
• DOI: http://doi.org/10.4078/jrd.2014.21.1.40

Abstract

A 79-year-old woman was admitted to our hospital for shoulder pain. A physical examination revealed a tender right shoulder with limitation of active, and preservation of passive, motion. She had undergone a cerebral angiography with coil embolization two months prior to admission. After the procedure, she was presented with pain in the right upper arm and shoulder. Due to persistent shoulder pain, an MRI of the shoulder was performed, and osteonecrosis of the humeral head was detected. We present a case of osteonecrosis of the humeral head after cerebral angiography.

Keyword

Osteonecrosis; Cerebral angiography; Humeral head

MeSH Terms

Aged
Arm
Cerebral Angiography*
Embolization, Therapeutic
Female
Humans
Humeral Head*
Magnetic Resonance Imaging
Osteonecrosis*
Physical Examination
Shoulder
Shoulder Pain

Figure

• 

  Figure 1. Radiograph of the right shoulder. (A) Radiograph of the right shoulder before cerebral angiography shows normal humeral head. (B) Radiograph of the right shoulder reveals severe osteonecrosis of the humeral head.

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  Figure 2. MRI of the right shoulder. (A) Sagittal T1 weighted image show extensive low signal abnormalities of the humeral epi-physis, metaphysis and diaphysis that indicate avscular necrosis. (B) Coronal T2 weighted fat saturated image show severe osteonecrotic changes in the humeral head.

Reference

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