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Humeral Head Osteonecrosis After Anterior Shoulder Stabilization in an Adolescent. A Case Report

Humeral Head Osteonecrosis After Anterior Shoulder Stabilization in an Adolescent. A Case Report <h2>Introduction</h2> After the femoral head, the humeral head is the second most common site for osteonecrosis and its occurrence has been associated with trauma (especially three and four-part fractures), corticosteroid use, sickle-cell disease, alcoholism, dysbarism (or caisson disease), Gaucher disease, or other systemic conditions 1 . Osteonecrosis of the humeral head is extremely uncommon in children and generally is not associated with conditions that affect the femoral head, such as Perthes disease. To our knowledge, osteonecrosis of the humeral head in an adolescent as a surgical complication has not been reported in the literature. We report a case of humeral head osteonecrosis in a child occurring after shoulder stabilization for the treatment of recurrent shoulder dislocation. The complication was treated nonsurgically, and the osteonecrosis resolved within nine months, as documented by magnetic resonance imaging. Our patient and his family were informed that data concerning the case would be submitted for publication. <h2>Case Report</h2> Athirteen-year-old male was referred to our clinic for evaluation of recurrent dislocation of the right shoulder. The first injury occurred at the age of eleven when he sustained a hyperabduction injury to the right arm while wrestling. He had immediate pain in the right shoulder http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Bone and Joint Surgery Wolters Kluwer Health

Humeral Head Osteonecrosis After Anterior Shoulder Stabilization in an Adolescent. A Case Report

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2004 by The Journal of Bone and Joint Surgery, Inc.
ISSN
0021-9355
Publisher site
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Abstract

<h2>Introduction</h2> After the femoral head, the humeral head is the second most common site for osteonecrosis and its occurrence has been associated with trauma (especially three and four-part fractures), corticosteroid use, sickle-cell disease, alcoholism, dysbarism (or caisson disease), Gaucher disease, or other systemic conditions 1 . Osteonecrosis of the humeral head is extremely uncommon in children and generally is not associated with conditions that affect the femoral head, such as Perthes disease. To our knowledge, osteonecrosis of the humeral head in an adolescent as a surgical complication has not been reported in the literature. We report a case of humeral head osteonecrosis in a child occurring after shoulder stabilization for the treatment of recurrent shoulder dislocation. The complication was treated nonsurgically, and the osteonecrosis resolved within nine months, as documented by magnetic resonance imaging. Our patient and his family were informed that data concerning the case would be submitted for publication. <h2>Case Report</h2> Athirteen-year-old male was referred to our clinic for evaluation of recurrent dislocation of the right shoulder. The first injury occurred at the age of eleven when he sustained a hyperabduction injury to the right arm while wrestling. He had immediate pain in the right shoulder

Journal

Journal of Bone and Joint SurgeryWolters Kluwer Health

Published: Oct 1, 2004

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