Post-traumatic distal clavicle osteolysis
Updates to Case Attributes
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 the history of trauma and radiograph - ultrasound images, post traumatic-traumatic distal clavicle osteolysis of outer end of clavicle is most likely.
Other differentials, which are ruled out includes - , include:
-
Rhematoidrheumatoid arthritis -
Hyperparathyroidismhyperparathyroidism -
Multiplemultiple myeloma -
Metastasismetastasis -
Cleidocranialcleidocranial dysplasia -
Pyknodysostosis.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
-<p>Radiograph - Irregularity of cortex and loss of bone is seen at outer end of clavicle favour ostelysis. Acromian cortex is normal.</p><p>US - Findings of radiograph are confirmed. There is distension of joint space with synovial thickening.</p><p>In view of history of trauma and radiograph - ultrasound images, post traumatic osteolysis of outer end of clavicle is most likely.</p><p>Other differentials which are ruled out includes - </p><ol><li>Rhematoid arthritis </li><li>Hyperparathyroidism</li><li>Multiple myeloma</li><li>Metastasis</li><li>Cleidocranial dysplasia</li><li>Pyknodysostosis.</li></ol><p>References :</p><p>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.</p><p>2. Aids to Radiological differential diagnosis. 4th edition. Edited by Stephen Chapman and Richard Nakielny</p>- +<p>In view of the history of trauma and radiograph - ultrasound images, post-traumatic distal clavicle osteolysis is most likely.</p><p>Other differentials, which are ruled out, include:</p><ol>
- +<li>rheumatoid arthritis</li>
- +<li>hyperparathyroidism</li>
- +<li>multiple myeloma</li>
- +<li>metastasis</li>
- +<li>cleidocranial dysplasia</li>
- +<li>pyknodysostosis</li>
- +</ol>
References changed:
- 1. Levine A, Levine PM, Levine SE, Levine. Posttraumatic osteolysis of the distal clavicle with emphasis on early radiologic changes. (1976) AJR. American journal of roentgenology. <a href="https://doi.org/10.2214/ajr.127.5.781">doi:10.2214/ajr.127.5.781</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/973664">Pubmed</a> <span class="ref_v4"></span>
Updates to Link Attributes
Updates to Primarylink Attributes
Updates to Study Attributes
Irregularity of cortex and loss of bone is seen at the distal clavicle favouring osteolysis. Acromial cortex is normal.
Image X-ray (Magnified) ( update )
Image X-ray (Frontal) ( update )
Updates to Study Attributes
Right AC joint space widening, capsular thickening and effusion.
Left AC joint for comparison is normal.
Image Ultrasound ( update )
Image Ultrasound ( update )
Image Ultrasound ( update )
Image Ultrasound ( update )
Image Ultrasound ( update )
Image Ultrasound ( update )
Image 6 Ultrasound ( update )
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