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A 7-year-old previously healthy right-handed boy presented to the pediatric neurology clinic with right arm and shoulder pain of 4 months duration. The pain was severe in nature, could last for an hour, at times woke him up from sleep, and was partially relieved with acetaminophen and ibuprofen. About 4 weeks prior to presentation, his parents noticed that his right upper arm was thinner than the left. The patient denied any sensory loss or weakness of the right arm or other limbs. There was no history of recent trauma or immunizations. His birth and developmental history were unremarkable and there was no family history of neuromuscular disorders. On clinical examination, his higher mental function and cranial nerves were normal. Motor system examination revealed atrophy of the right upper arm. There was no shoulder drooping, scapular winging, wasting of the forearm and hand, or fasciculations of the muscles. There was no local tenderness, redness, or swelling and range of motion of the shoulder joint was …

Pearls & Oy-sters: Osteoid osteoma of the scapula masquerading as neuralgic amyotrophy