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  4. Gorham’s Disease in a Patient with Traumatic Spinal Cord Injury: Case Report and Review of the Literature

Gorham’s Disease in a Patient with Traumatic Spinal Cord Injury: Case Report and Review of the Literature

Topics in Spinal Cord Injury Rehabilitation, 2016 · DOI: 10.1310/sci2201-79 · Published: January 1, 2016

Spinal Cord InjuryRehabilitationMusculoskeletal Medicine

Simple Explanation

Gorham’s disease, also known as disappearing bone disease, is a rare condition where bone is replaced by fibrovascular connective tissue. The exact cause is unknown, but it's thought to be related to lymphangiomatosis. A 22-year-old man with a spinal cord injury developed shoulder pain and was diagnosed with Gorham's disease in his clavicle. He was treated with conservative measures like NSAIDs and rest. The patient responded well to conservative treatment and regained functional use of his shoulder. This case highlights the importance of considering rare conditions like Gorham's disease when evaluating shoulder pain in paraplegic patients.

Study Duration
Not specified
Participants
One 22-year-old male with T6 paraplegia
Evidence Level
Case Report

Key Findings

  • 1
    A patient with traumatic spinal cord injury developed Gorham's disease in the distal right clavicle, presenting as shoulder pain.
  • 2
    Conservative treatment with NSAIDs and rest resulted in a good functional outcome for the patient, with resolution of pain and regained shoulder use.
  • 3
    The case emphasizes the importance of considering Gorham's disease in the differential diagnosis of shoulder pain in paraplegic patients.

Research Summary

This case report describes a 22-year-old man with a T6 spinal cord injury who developed Gorham's disease in his right clavicle, presenting as shoulder pain during acute rehabilitation. The patient was treated conservatively with NSAIDs and rest, leading to resolution of pain and regained functional use of his shoulder, without further disease progression. The authors highlight the importance of including Gorham's disease in the differential diagnosis of shoulder pain in patients with spinal cord injury, as early recognition can prevent unnecessary and invasive interventions.

Practical Implications

Differential Diagnosis

Consider Gorham's disease in the differential diagnosis of shoulder pain in SCI patients.

Conservative Management

Conservative treatment (NSAIDs, rest) may be effective for Gorham's disease localized to the clavicle.

Early Recognition

Early recognition of Gorham’s disease can prevent extensive workup and invasive testing.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Lack of long-term follow-up data.
  • 3
    Limited information on the natural history of Gorham's disease.

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