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Hand-Shoulder Syndrome

• Pain, swelling and osteoporosis

• Atrophy of the skin of the hand

• Etiology not known

• Reflex circulatory disturbance

• Seen secondary to

• Myocardial infraction

• Stroke

• Trauma

• X-ray

• Shoulder x-rays are usually negative

• Hand shows osteoporosis, sometimes severe

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