History
A 13-year-old boy presented with a one-and-a-half-month history of right shoulder pain that was precipitated by a competitive wrestling episode during which he felt a “cracking” sensation. The patient did not seek immediate medical attention and was treated at home with a sling, ice, and ibuprofen. After incomplete pain relief radiographs were obtained (Fig. 1). Past medical history was unremarkable. Physical examination revealed a right upper extremity that had no muscular asymmetry, normal neurological and vascular function, and normal motor function with a full range of shoulder motion in all planes and axes.
A magnetic resonance imaging (MRI) scan followed by open biopsy were performed (Figs. 2 and 3).
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The diagnosis can be found at doi: 10.1007/s00256-012-1567-2
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Henderson, E.R., Pohlmann, R.A., Hollowell, M.L. et al. Epiphyseal lesion of the humerus in a child. Skeletal Radiol 42, 1001–1002 (2013). https://doi.org/10.1007/s00256-012-1566-3
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DOI: https://doi.org/10.1007/s00256-012-1566-3