Topics in Spinal Cord Injury Rehabilitation, 2016 · DOI: 10.1310/sci2201-79 · Published: January 1, 2016
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.
Consider Gorham's disease in the differential diagnosis of shoulder pain in SCI patients.
Conservative treatment (NSAIDs, rest) may be effective for Gorham's disease localized to the clavicle.
Early recognition of Gorham’s disease can prevent extensive workup and invasive testing.