J Orthop Sports Phys Ther. 2019 Nov;49(11):864. doi: 10.2519/jospt.2019.8302.
A 30-year-old woman was referred to physical therapy for bilateral shoulder and thoracic spine pain concurrent with loss of range of motion. Notable medical history included surgical removal of a pituitary adenoma that had resulted in excessive growth hormone secretion, developing into acromegaly with hallmark physical features. Following examination, radiographs were requested to evaluate the extent of arthropathies associated with acromegaly. Radiographs revealed advanced arthropathies of the bilateral acromioclavicular and glenohumeral joints, along with loss of disc height and anterolisthesis throughout the thoracic spine. .
一位 30 岁女性因双侧肩和胸脊柱疼痛及活动范围受限被转介至物理治疗。值得注意的病史包括因垂体腺瘤切除导致生长激素过度分泌，进而发展成肢端肥大症，并出现标志性的身体特征。检查后，要求拍摄 X 光片评估肢端肥大症相关的关节病的程度。X 光片显示双侧肩锁关节和盂肱关节的严重关节病，以及整个胸脊柱的椎间盘高度丧失和前滑移。
