Journal of Shoulder and Elbow Surgery vol:8 issue:3 pages:281-283
Massive osteolysis, or Gorham’s syndrome, is a rare nonmalignant disorder of the skeleton whose cause is
unknown. The condition is characterized by massive loss of
the bone matrix of 1 or more bones; fibrous tissue that contains thin-walled vascular channels develops in place of the bone matrix. The diagnosis of this condition is difficult because it is rare and may only be established by excluding more common bone diseases. The principal treatment
modalities are surgery and radiotherapy; which modality
to use is mainly determined by the evolution and extent of
We report a case of 72-year-old man with massive osteolysis
of the shoulder joint.
In view of the progressive destruction of the shoulder,
he was treated with a high dose of radiotherapy. The process arrested with no clinical or radiographic signs of progression after 2 years.