{"id":7445,"date":"2022-12-06T15:05:25","date_gmt":"2022-12-06T12:05:25","guid":{"rendered":"https:\/\/urbancare.clinic\/a-rare-cause-of-shoulder-pain\/"},"modified":"2022-12-06T15:05:25","modified_gmt":"2022-12-06T12:05:25","slug":"una-causa-rara-di-dolore-alla-spalla","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/it\/a-rare-cause-of-shoulder-pain\/","title":{"rendered":"Una rara causa di dolore alla spalla"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/a-rare-cause-of-shoulder-pain.jpg\" class=\"ff-og-image-inserted\" style=\"display:none\"><\/div>\n<p><span class=\"highwire-journal-article-marker-start\"><\/span><\/p>\n<p id=\"p-1\">Una donna di 23 anni si \u00e8 presentata al pronto soccorso con una storia di 1 anno di dolore atraumatico alla spalla destra. Nei mesi precedenti, il dolore era peggiorato e il suo raggio di movimento si era notevolmente ridotto. Per il resto era in forma e sana.<\/p>\n<p id=\"p-2\">All&#039;esame, la sua spalla appariva normale e non vi era alcun evidente deficit neurovascolare, compreso il nervo ascellare. Non aveva alcun movimento attivo in nessuna direzione, ma passivamente poteva portare la sua spalla a 60\u00b0 di abduzione e flessione in avanti.<\/p>\n<p id=\"p-3\">Una semplice radiografia del... <\/p>\n<p><span class=\"highwire-journal-article-marker-end\"><\/span><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e1?rss=1\">Fonte quotidiana medica<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>Una donna di 23 anni si \u00e8 presentata al pronto soccorso con una storia di 1 anno di dolore atraumatico alla spalla destra. Nei mesi precedenti, il dolore era peggiorato e il suo raggio di movimento si era notevolmente ridotto. Per il resto era in forma e sana.<\/p>\n<p>All&#039;esame, la sua spalla appariva normale e non vi era alcun evidente deficit neurovascolare, compreso il nervo ascellare. Non aveva alcun movimento attivo in nessuna direzione, ma passivamente poteva portare la spalla a 60\u00b0 di abduzione e flessione in avanti.<\/p>\n<p>Una semplice radiografia della spalla (<cross-ref type=\"fig\" refid=\"F1\">Figura 1<\/cross-ref>) mostra una lesione litica lobulata, espansiva e mal definita all&#039;interno della testa omerale destra e della diafisi omerale prossimale. La lesione interessava la diafisi, la metafisi e l&#039;epifisi.<\/p>\n<p>\u00c8 stata richiesta una risonanza magnetica (<cross-ref type=\"fig\" refid=\"F2\">figura 2<\/cross-ref>) per aiutare a stabilire la diagnosi. Ci\u00f2 conferm\u00f2 una lesione espansiva che aveva sostituito la testa omerale e addossata alla superficie articolare. La lesione era internamente informe, senza evidenza...<\/p>","protected":false},"author":2,"featured_media":7446,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/a-rare-cause-of-shoulder-pain.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7445","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A rare cause of shoulder pain - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/it\/una-causa-rara-di-dolore-alla-spalla\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A rare cause of shoulder pain - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"A 23-year-old woman presented to the emergency department with a 1-year history of atraumatic right shoulder pain. Over the preceding few months, the pain had worsened and her range of movement had reduced considerably. She was otherwise fit and healthy. On examination, her shoulder appeared normal and there was no obvious neurovascular deficit, including the axillary nerve. She had no movement in any direction actively, but passively could bring her shoulder to 60&deg; of abduction and forward flexion. A plain radiograph of the shoulder (figure 1) shows a lobulated, expansile, ill-defined lytic lesion within the right humeral head and proximal humeral shaft. The lesion involved the diaphysis, metaphysis and epiphysis. An MRI was requested (figure 2) to help establish the diagnosis. This confirmed an expansile lesion which had replaced the humeral head and abutted the articular surface. The lesion was internally featureless, with no evidence...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/it\/una-causa-rara-di-dolore-alla-spalla\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-12-06T12:05:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/a-rare-cause-of-shoulder-pain.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Scritto da\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/a-rare-cause-of-shoulder-pain\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/a-rare-cause-of-shoulder-pain\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"A rare cause of shoulder pain\",\"datePublished\":\"2022-12-06T12:05:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/a-rare-cause-of-shoulder-pain\\\/\"},\"wordCount\":91,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/a-rare-cause-of-shoulder-pain\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/a-rare-cause-of-shoulder-pain.jpg\",\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"it-IT\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/a-rare-cause-of-shoulder-pain\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/a-rare-cause-of-shoulder-pain\\\/\",\"name\":\"A rare cause of shoulder pain - 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