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Productive sinus of the proximal humerus
  1. B Garg,
  2. E Krishnakiran,
  3. R Malhotra,
  4. S Bhan
  1. Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to:
 Dr B Garg
 Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India; drbhavukgargrediffmail.com

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A 60 year old man was admitted to our department suffering for the past eight years with productive sinuses of the right humerus (fig 1). He underwent several drainages and postoperatively he was treated with albendazole. Unfortunately the results were poor with total osteolysis of humeral head, with persistent, productive sinuses.

Figure 1

 Plain AP radiograph of the right shoulder of the patient showing osteolysis of humeral head, soft tissue swelling, and soft tissue calcification.

QUESTIONS

  1. What is the diagnosis and differential diagnosis?

  2. What are the other sites of involvement?

  3. What is the treatment?

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