Abstract

Clinical symptoms of an idiopathic shoulder destructive arthropathy occur in elderly patients with a long history of rotator cuff tear and include mild pain, feeling of shoulder instability and a large joint effusion often blood stained. Radiographic features are characterized by an extended resorption of the humeral head often dislocated, erosion of the glenoid and curvilinear calcifications within a distended capsule surrounding the humeral epiphysis. Key aspects in MRI combine a collapse of the humeral head, bone marrow edema in the remnant part of the head and a large joint effusion.

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