There was a problem loading this presentation. You may not have permission to view it.

You do not have permission to view this presentation.



An error occurred while loading this content.

Please refresh the page to try again.

Refresh Now
You previously started this content
Login or join to view
Click to Play


Elliot K. Fishman, MD
Director of Diagnostic Imaging and Body CT, Professor of Radiology and Radiological Science, Johns Hopkins
Karen M. Horton, MD
Professor and Interim Chair, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins

This is a patient who presented with progressively worsening shoulder pain. Radiographs of the shoulder were obtained. The first radiograph demonstrates sclerosis of the humeral head consistent with osteonecrosis. The second image nicely demonstrates subcortical lucency consistent with collapse of the articular surface of the humeral head. There are marginal osteophytes on the humeral head with narrowing of the glenohumeral joint space consistent with secondary osteoarthrosis. This disease process is progressive over time with patients eventually requiring a shoulder replacement.