Hypercalcemic crisis - a fatal case of primary hyperparathyroidism

Area of Science:

• Orthopedic anatomy
• Radiology
• Surgical pathology

Background:

• The scapula is a key bone of the shoulder girdle.
• Anatomical variations require thorough documentation for accurate diagnosis.

Purpose of the Study:

• To describe a previously undocumented notch on the supero-medial border of the scapula.
• To illustrate its potential to be misdiagnosed as a bone tumor on imaging.

Main Methods:

• Case report detailing imaging findings.
• Review of relevant anatomical literature.

Main Results:

• Identification of a unique notch on the superior border of the scapula.
• Demonstration of imaging characteristics that can mimic a bone neoplasm.

Conclusions:

• This scapular notch is a distinct anatomical finding.
• Radiologists and clinicians should be aware of this entity to avoid misdiagnosis.