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患者男性,37岁,无明显诱因出现右肩部隐痛2个月余,夜间痛明显,近日逐渐加重。查体:右肩关节皮肤无红肿,未触及明显肿块,局部压痛触痛,皮温稍高,桡动脉波动正常,上肢感觉、肌力及反射皆无异常,右肩关节外展和外旋功能部分受限。X线检查可见右侧肩胛骨喙突下囊性、膨胀性、溶骨性骨质破坏,骨皮质变薄,部分见骨皮质断裂,没有明显的硬化边缘及钙化,无软组织肿块。CT平扫可见右侧肩胛骨喙突下方囊状骨质破
Male patients, 37 years old, there is no obvious incentive to appear more than 2 months of pain in the right shoulder, night pain obvious, gradually increased recently. Physical examination: the right shoulder joint skin no swelling, no obvious palpable mass, local tenderness tenderness, skin temperature slightly higher, normal radial artery fluctuations, upper limb feel, muscle strength and reflexes are normal, right shoulder joint abduction and external rotation function Partly limited. X-ray examination showed the right scapular coracoid cystic degeneration, swelling, osteolytic bone destruction, cortical thinning, in part see cortical fracture, there is no obvious sclerosis and calcification, no soft tissue mass. CT scan shows the right scapular coracoid below the cystic bone broken