Osteonecrosis of the Humeral Head after Cerebral Angiography

In Seol Yoo; Chan-Keol Park; Young Kim; Seung Taek Song; Si Wan Choi; Jin Hyun Kim; Seong Wook Kang

doi:10.4078/jrd.2014.21.1.40

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Yoo, Park, Kim, Song, Choi, Kim, and Kang: Osteonecrosis of the Humeral Head after Cerebral Angiography

Case Report

J Rheum Dis 2014;21(1):40-42.

Published online: 31 February 2014

DOI: https://doi.org/10.4078/jrd.2014.21.1.40

Osteonecrosis of the Humeral Head after Cerebral Angiography

In Seol Yoo, Chan-Keol Park, Young Kim, Seung Taek Song, Si Wan Choi, Jin Hyun Kim, Seong Wook Kang

Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea

Corresponding to : Seong Wook Kang, Department of Internal Medicine, Chungnam National University School of Medicine, 282, Munhwa-ro, Jung-gu, Daejeon 301-721, Korea. E-mail : kangsw@cnuh.co.kr

Received 16 May 201325 May 2013 Accepted 27 May 2013

This is a Free Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 persis-tent 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.

Keywords: Osteonecrosis, Cerebral angiography, Humeral head

References

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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.

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.

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