Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

  • Cho, Hyun IK (Department of Orthopaedic Surgery, Good Samsun Hospital) ;
  • Cho, Hyung Lae (Department of Orthopaedic Surgery, Good Samsun Hospital) ;
  • Hwang, Tae Hyok (Department of Orthopaedic Surgery, Good Samsun Hospital) ;
  • Wang, Tae Hyun (Department of Orthopaedic Surgery, Good Samsun Hospital) ;
  • Cho, Hong (Department of Orthopaedic Surgery, Good Samsun Hospital)
  • 투고 : 2015.06.08
  • 심사 : 2015.08.24
  • 발행 : 2015.09.30
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초록

Humeral head chondrolysis has been widely reported as a devastating complication after arthroscopic shoulder surgery; however little is known about post-arthroscopic humeral head osteonecrosis. We experienced a 66-year-old female patient with rapidly progressive osteonecrosis of the humeral head only seven months after arthroscopic Bankart and rotator cuff repair. The patient had no systemic risk factors for osteonecrosis. A satisfactory result was achieved with reverse total shoulder arthroplasty for severe humeral head destruction and an irreparable massive rotator cuff tear. Shoulder surgeons should be aware of such severe complication, perform routine radiographs, and pay close attention to the presence of constant pain or loss of motion after arthroscopic shoulder surgery.

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참고문헌

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피인용 문헌

  1. An anatomical investigation into the blood supply of the proximal humerus: surgical considerations for rotator cuff repair vol.3, pp.4, 2015, https://doi.org/10.1016/j.jses.2019.09.002
  2. Rapid destruction of shoulder joint by pigmented villonodular synovitis treated by hemiarthroplasty: A case report vol.77, pp.None, 2015, https://doi.org/10.1016/j.ijscr.2020.10.128
  3. The humeral head: A review of the blood supply and possible link to osteonecrosis following rotator cuff repair vol.239, pp.5, 2015, https://doi.org/10.1111/joa.13496