{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:40:13Z","timestamp":1756294813502,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,10,16]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>A man in his early 50s presented with mechanical chronic pain and limitation of the active range of motion of the right shoulder. Imaging of the shoulder showed osteophytosis without joint space narrowing or cranial migration of the humeral head. He reported no history of trauma, dislocation arthropathy, clinical or standard biological evidence for septic or inflammatory arthritis, metabolic, haemophilic or endocrine-associated arthropathies. The second medical consultation revealed enlargement and infiltration of hands and feet. Consequently, we suspected acromegaly, which was confirmed by endocrinological diagnosis. Further, an MRI of the pituitary gland showed a sellar tumour. The patient\u2019s shoulder pain was related to undiagnosed acromegalic arthropathy leading to osteoarthritis and was treated by trans-sphenoidal exeresis of the somatotroph adenoma and a somatostatin analogue. In conclusion, acromegaly should be considered in patients with centred glenohumeral osteoarthritis, as an early diagnosis is essential to limit complications and preserve the quality of life.<\/jats:p>","DOI":"10.1136\/bcr-2023-258545","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T07:12:22Z","timestamp":1731568342000},"page":"e258545","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Shoulder osteoarthritis facilitating the diagnosis of acromegaly"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3788-819X","authenticated-orcid":false,"given":"Romain","family":"Garofoli","sequence":"first","affiliation":[{"name":"Paris Cit\u00e9 University, Department of physical medicine and rehabilitation, H\u00f4pital Cochin - Assistance Publique- H\u00f4pitaux de Paris, Paris, \u00cele-de-France, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9051-1562","authenticated-orcid":false,"given":"Domitille","family":"Renard","sequence":"additional","affiliation":[{"name":"Paris Cit\u00e9 University, Department of physical medicine and rehabilitation, H\u00f4pital Cochin - Assistance Publique- H\u00f4pitaux de Paris, Paris, \u00cele-de-France, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Bessiene","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and National Reference Center for Rare Adrenal Disorders, AP-HP, H\u00f4pital Cochin, F-75014, Paris, \u00cele-de-France, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Martine","family":"Lef\u00e8vre-Colau","sequence":"additional","affiliation":[{"name":"Paris Cit\u00e9 University, Department of physical medicine and rehabilitation, H\u00f4pital Cochin - Assistance Publique- H\u00f4pitaux de Paris, Paris, \u00cele-de-France, France"},{"name":"INSERM (U1153): Clinical epidemiology and biostatistics, PRES Sorbonne Paris-Cit\u00e9, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"key":"2025082704062140000_17.11.e258545.1","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2474-12-119","article-title":"A prospective study of shoulder pain in primary care: prevalence of imaged pathology and response to guided diagnostic blocks","volume":"12","author":"Cadogan","year":"2011","journal-title":"BMC Musculoskelet Disord"},{"key":"2025082704062140000_17.11.e258545.2","doi-asserted-by":"publisher","DOI":"10.1177\/1457496920935018"},{"key":"2025082704062140000_17.11.e258545.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.01.021"},{"key":"2025082704062140000_17.11.e258545.4","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.jse.2013.11.031","article-title":"Prevalence of and risk factors for shoulder osteoarthritis in Japanese middle-aged and elderly populations","volume":"23","author":"Kobayashi","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"2025082704062140000_17.11.e258545.5","doi-asserted-by":"publisher","DOI":"10.3171\/2014.12.JNS141083"},{"key":"2025082704062140000_17.11.e258545.6","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-013-2219-1"},{"key":"2025082704062140000_17.11.e258545.7","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1007\/s11102-019-00966-8","article-title":"Arthropathy in acromegaly: a questionnaire-based estimation of motor disability and its relation with quality of life and work productivity","volume":"22","author":"Fatti","year":"2019","journal-title":"Pituitary"},{"key":"2025082704062140000_17.11.e258545.8","doi-asserted-by":"crossref","unstructured":"Alito A , Basile GC , Bruschetta D , et al . n.d. 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