APLAR Journal of Rheumatology Emad, Y., et al. - A 38-year-old female patient was diagnosed as a case of systemic lupus erythematosus (SLE) in 1994. Her initial presentation was nephritis which remitted on combination of steroid, azathioprine and pulse cyclophosphamide therapy. One year later the patient developed bilateral avascular necrosis (AVN) both hips and underwent bilateral hip replacement...It is suggested that in SLE patients with positive lupus anticoagulant and negative antiphospholipid antibodies, testing for reactivity against beta2 glycoprotein 1 is mandatory
Clinical Orthopedics and Related Research Uhthoff, Hans K MD, FRCSC, et al. - Stiffness in primary (idiopathic) frozen shoulders has been attributed to a global fibroplasia of the capsule despite the fact surgical release of the capsule at the rotator interval and of the coracohumeral ligament restores motion in almost all patients...Therefore it seems, in patients with primary frozen shoulder, fibroplasia and contracture are two distinct processes
Seminars in Musculoskeletal Radiology
Douglas P. Beall, et al. - The rotator cuff interval (RCI) is an important and anatomically complex region of the rotator cuff that is critically important to normal glenohumeral function. Recognition of common pathologies in this region on imaging examinations is especially important as injuries may be difficult to detect on clinical examination and even at arthroscopy
BMC Musculoskeletal Disorders Rahul K Nath, et al. - Conclusions: These results reveal the importance of recognizing the presence of scapular elevation, hypoplasia and rotation deformity before deciding on a treatment plan. The Triangle Tilt procedure aims to relieve the forces acting on the shoulder joint and improve the situation of the humeral head in the glenoid. Improvement in glenohumeral positioning should allow for better functional movements of the shoulder, which was seen in all four patients. These dramatic improvements were only possible once the glenohumeral deformity was directly addressed surgically
Journal of Shoulder and Elbow Surgery Nicole Pouliart MD, PhD, et al. - Humeral avulsion of the glenohumeral ligaments (HAGL) is an infrequent cause of shoulder instability...Extensive capsuloligamentous lesions on the humeral side seem to be required before dislocation can occur. This may be a factor explaining the relative paucity of HAGL in clinical series
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