What does this mean? Sclerotic acromion? Ortho on shoulder

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cured4real?
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Date Joined Dec 2005
Total Posts : 1950
 		   Posted 6/4/2008 7:25 PM (GMT -6)   
Hi--
I was just wondering if anyone here could tell me what this means about my left shoulder:
Slight reduction in humeroacrimal space with downward sloping and slightly sclerotic acromion. Glenohumeral joint preserved.
 
I got this in the Mayo stuff and the ortho still hasn't returned my calls. I don't know if its something I should follow up on or is just like arthritis or something. I just wondered if someone could translate it for me. 
 
Thanks for any help you can give me. I don't know if this is part of autoimmune disease or RA or what.
 
Love, Marji
--Sometimes I think the surest sign that intelligent life exists elsewhere in the universe is that none of it has tried to contact us. Bill Watterson (1958-) cartoonist "Calvin and Hobbes"
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy, GI nightmare
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Detrol, Klonopin, Ultram, Vicodin, Restasis, Albuterol, steroid injections and pred prn

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hippimom2
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 		   Posted 6/4/2008 8:34 PM (GMT -6)   
Marji, I'm sorry I can't help - I have no idea what it means, but hopefully someone will know more than me or that you get a call back from the ortho soon. It sounds like you got a lot of info from Mayo.
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okie
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Date Joined Dec 2006
Total Posts : 2818
 		   Posted 6/4/2008 9:21 PM (GMT -6)   
Marji, not only can I not tell you but I can't even pronounce it! Wow what a mouth full. I hope somone from the rheumy office reaches you soon. Let us know what they have to say.
hugs
carol
God Bless
Possible sclero.  stage 4 COPD w/CHF,   Osteoporosis,osteoarthritis
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cured4real?
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Date Joined Dec 2005
Total Posts : 1950
 		   Posted 6/4/2008 9:42 PM (GMT -6)   
Well, I know sclerosis can be scarring, but some sclerotic lesions in bone are described as cancerous or benign. Scarring of the joint makes sense in arthritis as usually there is a buildup of osteophytes (bone spurs) that rub against the cartilage. But there is no mention of that. More like almost a deformity with age or something. I guess I need to call the rheumy and see what he says. The Mayo Ortho place has been really bad about getting back to me.

I don't know about the downward part or the space. I didn't even know I had an acromion. That's a jeopardy question! Thanks for the support! Maybe someone with some ortho or radiology will post. Knowing me, it's probably an old age thingy, like we all get it, like bad knees and hips, because we are women.

Hopefully that is all it is.
Love, Marji
--Sometimes I think the surest sign that intelligent life exists elsewhere in the universe is that none of it has tried to contact us. Bill Watterson (1958-) cartoonist "Calvin and Hobbes"
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy, GI nightmare
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Detrol, Klonopin, Ultram, Vicodin, Restasis, Albuterol, steroid injections and pred prn

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Ides
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Date Joined Nov 2003
Total Posts : 7160
 		   Posted 6/4/2008 10:17 PM (GMT -6)   
cured - I have the EXACT same wording on both my shoulder xray reports. And I know what it means. The space between the bony structures is narrower than normal. This can cause impingement, meaning that the bones hit on one another when the shoulder is moved in certain directions. Injury can sometimes contribute to this but most often it happens as people age. My left shoulder would actually get stuck to the point I could not lift my arm. Because surgery is a dicey deal with me, I was sent to PT. Had a wonderful therapist that created an exercise program that greatly improved my range of motion. Hope that helps.
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CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, diffuse connective tissue disease, Sjogren's Syndrome ?
 

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cured4real?
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Date Joined Dec 2005
Total Posts : 1950
 		   Posted 6/4/2008 10:47 PM (GMT -6)   
Thanks a milliion Ides! I suspected it was something like that. I've been swimming and some light strokes (not the crawl) have helped a lot. I suspect with me also is that it might be affected by my neck surgery and some of the severity of pain and numbness is more from my neck than from the shoulder. I tried to tell them that. Also, possibly the joint was just inflamed at that time briefly. Increasing plaquinil seemed to help.

Thanks alot. Somehow, I knew someone here would know! Did they think it was part of the ankylosing spondylitis? My neurosurgeon dx me with that after my neck surgery but my rheumie says I don't have the HLA stuff or significant enough joint changes. I get really stiff and bent over and cant stand up and stuff. I have the symptoms, but mostly spinal, not hips.
Love, Marji
--Sometimes I think the surest sign that intelligent life exists elsewhere in the universe is that none of it has tried to contact us. Bill Watterson (1958-) cartoonist "Calvin and Hobbes"
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy, GI nightmare
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Detrol, Klonopin, Ultram, Vicodin, Restasis, Albuterol, steroid injections and pred prn

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