Roca disease: An osteochondrosis of the inferior pole of the scapula with review of the literature

Radiology Case Reports

Kriti Ahuja, MBBS¹  Swachchhanda Songmen, MD²  Nishant Gupta, MD³  Ruben Kier, MD⁴  Darshan Gandhi, MD⁵  Harpreet Sawhney, MD⁶ 

[1] Corresponding author.;Department of Diagnostic Radiology, Bridgeport Hospital at Yale New Haven Health, Bridgeport, CT, USA;Department of Diagnostic Radiology, St. Vincent's Medical Center at Hartford Healthcare, 2800 Main Street, Bridgeport, CT 06606, USA;Department of Radiology, Bassett Healthcare, Cooperstown, NY, USA;Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N St. Clair St, Suite 800, Chicago IL 60611, USA;Maulana Azad Medical College, Delhi, India;

关键词: Roca disease;    Osteochondrosis;    Scapula;    MRI;    Ossification;   

DOI  :  

来源: DOAJ

【 摘 要 】

Osteochondrosis is a developmental condition affecting the endochondral ossification. It is commonly idiopathic however can be due to vascular anomalies, dietary conditions, hormonal irregularity, or overuse trauma. Osteochondrosis occurring in the inferior pole of the scapula is an extremely rare condition and is referred to as roca disease. A higher degree of suspicion is required especially in a young patient with atraumatic shoulder pain and additional unconventional MRI sequences focusing on the inferior pole of scapula can be taken to rule out such conditions. We report a case of Roca disease in a 16-year male who presented with right shoulder pain. This is the third case report of roca disease in the English literature according to our knowledge and the first case report to demonstrate extensive MRI imaging features with a normal radiograph. Imaging, particularly MRI, plays a pivotal role in the diagnosis of this extremely rare entity. Also, the inferior pole of the scapula is usually not included in routine shoulder MRI imaging thus close scrutiny with additional MRI sequences should be done to diagnose such a rare entity.

【 授权许可】

Unknown