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X-ray Seminar, NO 40 |

Painful Joints

Murray L. Janower, MD
JAMA. 1964;190(3):232-234. doi:10.1001/jama.1964.03070160056012.
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Dr. Jack Wittenberg: The patient is a 57-year-old white male who entered the Massachusetts General Hospital for the third time because of a swollen, painful right wrist, elbow, and shoulder. His history dates back 11 years prior to admission when he first noted right hip pain, which he described as "grinding" in nature. The pain would last for one to three days, subside spontaneously, and then recur in a month or so. About six years before admission, the patient noted acute neck pain which radiated to both shoulders. Roentgenograms at that time were reported to have shown calcific deposits about both shoulders. He was treated with traction and improved somewhat. Three years prior to admission the patient noted the sudden onset of pain in his left forearm followed by swelling, tenderness, redness, and warmth in the wrist. The arm was placed in a cast which was removed in several days;


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