XXXX of the shoulder associated with @entity1644 : a report of six cases.

@entity1 @entity1183 @entity1644 @entity242 @entity5414 @entity1184 @entity4 @entity39 @entity1109 @entity158
Here, we report a series of 5 @entity1 (6 shoulders) diagnosed with @entity1109 of the shoulder joint in our clinic between 2005 and 2008. Initial diagnosis, previous treatment, and radiological and clinical follow-up findings were reviewed. The mean age at diagnosis was 44.2 years. Four @entity1 had unilateral and 1 @entity1 had bilateral involvement. The presenting symptoms were @entity158 , @entity4 , and loss in range of motion. Active forward flexion and abduction ranged from 0   to 90  . @entity1183 and loss of temperature sense was evident in 3 @entity1 . Radiographs showed massive osteolysis of humeral head and glenoid process, and magnetic resonance imaging showed periarticular fluid collection, and degeneration at the rotator cuff and shoulder joint, resembling chronic @entity5414 or @entity242 . Biopsy was performed in 4 @entity1 before definitive diagnosis, and @entity1184 and @entity39 bone was found. Two @entity1 had a history of operated cervical @entity1644 , and the remaining 3 @entity1 were later diagnosed to have @entity1644 and referred to neurosurgery clinic, where 2 of those were operated. Four @entity1 were followed-up with symptomatic therapy, and 1 @entity1 underwent an unsuccessful shoulder arthroplasty in another clinic. As a conclusion, @entity1109 of the shoulder is rare, and correct diagnosis is possible by careful physical and neurological examination and pathologic evaluation when needed.
