Good morning everyone!
Has anyone seen a fascia like that before?
Male, 42yo. Car crush 4 years ago.
Greater tuberosity fracture (it doesn’t seem chronic to me), bony bankart. Very thick glenohumeral capsule as well. Not diabetic.
Karina
2 thoughts on “Thickened fascia”
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Sorry for the delayed response.
I received a few answers to that case.
– Nobody knows why he has thickened fascia, some think it could be because of chronic hemorrhage from the fracture. It is funny because it affects only the posterior part of the shoulder (infraspinatus and teres minor).
– Two people think he has denervation pseudohypertrophy of infraspinatus and teres minor, which is a condition that paradoxically enlarges the affected muscles because of edema and fatty infiltration.
– The fracture is old because there isn’t edema. And one can note thin corticalized borders as well.
My personal impression is that this patient actually is diabetic, but he doesn’t know yet. He sustained a fracture for 4 years and has signs of neuropathy that involves more than one nerve.
Thanks everybody!
Dr. Bordalo has just answered to me. He saw some cases of chronic denervation with fascial thickening. He thinks it could be posttraumatic chronic denervation of suprascapular nerve.