Spontaneous bilateral humeral head fractures occurring simultaneously in a woman with rheumatoid arthritis期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

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Spontaneous bilateral humeral head fractures occurring simultaneously in a woman with rheumatoid arthritis

Authors:	Email author" target="_blank">D?Van Linthoudt Email author L?Malterre A?Koestli

Institution:	(1) Department of Rheumatology, Community Hospital, 2300 La Chaux-de-Fonds, Switzerland;(2) Department of Orthopaedic Surgery, Community Hospital, 2300 La Chaux-de-Fonds, Switzerland

Abstract:	A 67-year-old woman with a 15-year history of seropositive rheumatoid arthritis developed acute night pain in both shoulders. Examination revealed bilateral swelling and joint mobility impairment. Ultrasonography disclosed joint effusions which were hemorrhagic on aspiration. Radiographs showed the presence of a four-part fracture of both humeral heads. Bilateral humeral head fractures can occur spontaneously in patients with rheumatoid arthritis and osteoporosis. Repeated use of crutches could be a predisposing factor.Abbreviations BMD Bone mineral density - DXA Dual X-ray absorptiometry - IF Insufficiency fracture - RA Rheumatoid arthritis

Keywords:	Bilateral Fractures Humeral head Rheumatoid arthritis Spontaneous
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