Calcific Periarthritis: More Than a Shoulder Problem by Larisa M. Lehmer, and Bruce D. Ragsdale J...
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Transcript of Calcific Periarthritis: More Than a Shoulder Problem by Larisa M. Lehmer, and Bruce D. Ragsdale J...
![Page 1: Calcific Periarthritis: More Than a Shoulder Problem by Larisa M. Lehmer, and Bruce D. Ragsdale J Bone Joint Surg Am Volume 94(21):e157 November 7, 2012.](https://reader036.fdocuments.us/reader036/viewer/2022083006/56649f2c5503460f94c47cf0/html5/thumbnails/1.jpg)
Calcific Periarthritis: More Than a Shoulder Problem
by Larisa M. Lehmer, and Bruce D. Ragsdale
J Bone Joint Surg AmVolume 94(21):e157November 7, 2012
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Calcific Periarthritis: More Than a Shoulder Problem by Larisa M. Lehmer, and Bruce D. Ragsdale J Bone Joint Surg Am Volume 94(21):e157 November 7, 2012.](https://reader036.fdocuments.us/reader036/viewer/2022083006/56649f2c5503460f94c47cf0/html5/thumbnails/2.jpg)
A cloud-like radiodensity (arrow on Case 3 radiograph) is adjacent to the interphalangeal joints on pre-biopsy radiographs of three patients (Cases 3, 7, and 8), with lucent indications of
underlying bone erosion (demonstrated by a narrow zone of lucency un...
Larisa M. Lehmer, and Bruce D. Ragsdale J Bone Joint Surg Am 2012;94:e157
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Calcific Periarthritis: More Than a Shoulder Problem by Larisa M. Lehmer, and Bruce D. Ragsdale J Bone Joint Surg Am Volume 94(21):e157 November 7, 2012.](https://reader036.fdocuments.us/reader036/viewer/2022083006/56649f2c5503460f94c47cf0/html5/thumbnails/3.jpg)
Subtle (upper right) and conspicuous (low center) psammoma-like concentrically layered particles (hematoxylin and eosin stain; original magnification, ×400).
Larisa M. Lehmer, and Bruce D. Ragsdale J Bone Joint Surg Am 2012;94:e157
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Calcific Periarthritis: More Than a Shoulder Problem by Larisa M. Lehmer, and Bruce D. Ragsdale J Bone Joint Surg Am Volume 94(21):e157 November 7, 2012.](https://reader036.fdocuments.us/reader036/viewer/2022083006/56649f2c5503460f94c47cf0/html5/thumbnails/4.jpg)
Case 10.
Larisa M. Lehmer, and Bruce D. Ragsdale J Bone Joint Surg Am 2012;94:e157
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Calcific Periarthritis: More Than a Shoulder Problem by Larisa M. Lehmer, and Bruce D. Ragsdale J Bone Joint Surg Am Volume 94(21):e157 November 7, 2012.](https://reader036.fdocuments.us/reader036/viewer/2022083006/56649f2c5503460f94c47cf0/html5/thumbnails/5.jpg)
Calcific periarthritis manifests as small, rounded, previously mineralized (prior to histologic decalcification) granules collected within a fibrous pseudocapsule and thus is not gout.
Larisa M. Lehmer, and Bruce D. Ragsdale J Bone Joint Surg Am 2012;94:e157
©2012 by The Journal of Bone and Joint Surgery, Inc.