Monday, May 17, 2010

Distal Clavicular Resorption

Differential diagnosis of distal clavicular resorption:
  • Chronic rotator cuff tear: Decreased acromiohumeral distance.
  • Iatrogenic: Sharp, flared margin without periosteal reaction.
  • Rheumatoid arthritis: Characteristically, the undersurface is resorbed
  • Distal clavicylar osteolysis/post-traumatic osteolysis:
  • Hyperparathyroidism (shown above): Bilateral and symmetric. Soft tissue calcifications.
  • Progressive systemic sclerosis: Scleroderma. Bilateral and symmetric and may involve acromion. Soft tissue calcification may be seen.
  • Septic joint:

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