Abstract
Destructive changes in the acromial end of the clavicles have been reported in 11 patients with advanced rheumatoid arthritis by Alpert (1961).We wish to report a similar case which has recently come to our notice.The patient was a 37-year-old male with a three year history of rheumatoid arhtritis. The main radiographic findings were tapering of the acromial end of right clavicle and widening of the acromioclavicular joint space. Two remnants of non-osteolysed bone were seen between the acromion and the end of clavicle. The shoulder joint was not affected. Roentgen examination of another joints were within normal limits.This clavicular lesion must be distinguished from bone destruction caused by hyperparathyroidism, post-traumatic osteolysis, tuberculosis and acro-osteolysis.
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