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The only bone that fits this category for certain is the left shoulder blade which was diagnosed as necrotic and fractured into two pieces. The humerous joints of both shoulders were affected by PMR or arthritis to some extent. Significant dissolution of Pearl’s left clavicle had occurred – these conditions became apparent after her rotator cuffs were torn in prescribed physical therapy early in 2004. X-rays and MRIs were used to determine the extent of damage present. The left shoulder was deemed inoperable while the right could be repaired to eliminate pain but not function., though not until inflammation was gone.