Ochronotic Arthropathy of the Shoulder – A Rare Case Report
Introduction: Alkaptonuria is a metabolic disorder due to accumulation of homogentisic acid, leading to destruction of major joints. Very few cases of ochronosis with shoulder involvement have been reported in literature. Case Report: We report a 31-year-old male who presented with shoulder pain for...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-01-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/01/01/ochronotic-arthropathy-of-the-shoulder-a-rare-case-report/ |
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| author | Ayyappan V Nair Kiran V Aravind Rajan Bharath Bharadwaj MS Manisha Ashwin Daware Prince Shanavas Khan |
| author_facet | Ayyappan V Nair Kiran V Aravind Rajan Bharath Bharadwaj MS Manisha Ashwin Daware Prince Shanavas Khan |
| author_sort | Ayyappan V Nair |
| collection | DOAJ |
| description | Introduction:
Alkaptonuria is a metabolic disorder due to accumulation of homogentisic acid, leading to destruction of major joints. Very few cases of ochronosis with shoulder involvement have been reported in literature.
Case Report:
We report a 31-year-old male who presented with shoulder pain for 4 months. Clinical examination and magnetic resonance imaging showed tear of the long head of biceps tendon and labral tear. On arthroscopy, we discovered that there was blackish discoloration of the glenoid rim. On investigating further, homogentisic aciduria was found (865; normal value <0.99), suggesting a diagnosis of alkaptonuria. Our patient had relief of symptoms following debridement and biceps tenodesis at 12 weeks.
Conclusion:
Arthroscopy helps in the diagnosis and treatment of ochronosis with shoulder involvement. |
| format | Article |
| id | doaj-art-4a0b6055761340e981bf026903abb91f |
| institution | OA Journals |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-4a0b6055761340e981bf026903abb91f2025-08-20T02:10:17ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-01-01151909310.13107/jocr.2025.v15.i01.5136Ochronotic Arthropathy of the Shoulder – A Rare Case ReportAyyappan V NairKiran VAravind RajanBharath Bharadwaj MSManisha Ashwin DawarePrince Shanavas KhanIntroduction: Alkaptonuria is a metabolic disorder due to accumulation of homogentisic acid, leading to destruction of major joints. Very few cases of ochronosis with shoulder involvement have been reported in literature. Case Report: We report a 31-year-old male who presented with shoulder pain for 4 months. Clinical examination and magnetic resonance imaging showed tear of the long head of biceps tendon and labral tear. On arthroscopy, we discovered that there was blackish discoloration of the glenoid rim. On investigating further, homogentisic aciduria was found (865; normal value <0.99), suggesting a diagnosis of alkaptonuria. Our patient had relief of symptoms following debridement and biceps tenodesis at 12 weeks. Conclusion: Arthroscopy helps in the diagnosis and treatment of ochronosis with shoulder involvement.https://jocr.co.in/wp/2025/01/01/ochronotic-arthropathy-of-the-shoulder-a-rare-case-report/ochronosisalkaptonuriaarthropathyarthroscopyhomogentisic acid |
| spellingShingle | Ayyappan V Nair Kiran V Aravind Rajan Bharath Bharadwaj MS Manisha Ashwin Daware Prince Shanavas Khan Ochronotic Arthropathy of the Shoulder – A Rare Case Report Journal of Orthopaedic Case Reports ochronosis alkaptonuria arthropathy arthroscopy homogentisic acid |
| title | Ochronotic Arthropathy of the Shoulder – A Rare Case Report |
| title_full | Ochronotic Arthropathy of the Shoulder – A Rare Case Report |
| title_fullStr | Ochronotic Arthropathy of the Shoulder – A Rare Case Report |
| title_full_unstemmed | Ochronotic Arthropathy of the Shoulder – A Rare Case Report |
| title_short | Ochronotic Arthropathy of the Shoulder – A Rare Case Report |
| title_sort | ochronotic arthropathy of the shoulder a rare case report |
| topic | ochronosis alkaptonuria arthropathy arthroscopy homogentisic acid |
| url | https://jocr.co.in/wp/2025/01/01/ochronotic-arthropathy-of-the-shoulder-a-rare-case-report/ |
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