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Rapid Progressive Osteonecrosis of the Humeral Head After Arthroscopic Rotator Cuff Surgery

Title
Rapid Progressive Osteonecrosis of the Humeral Head After Arthroscopic Rotator Cuff Surgery
Authors
Kim, Je KyunJeong, Hyeon JangShin, Sang-JinYoo, Jae ChulRhie, Tae-YonPark, Kyoung-JinOh, Joo Han
Ewha Authors
신상진
SCOPUS Author ID
신상진scopus
Issue Date
2018
Journal Title
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
ISSN
0749-8063JCR Link1526-3231JCR Link
Citation
vol. 34, no. 1, pp. 41 - 47
Publisher
W B SAUNDERS CO-ELSEVIER INC
Indexed
SCI; SCIE; SCOPUS WOS
Abstract
Purpose: To verify the clinical features and the risk factors of rapid progressive osteonecrosis of the humeral head after arthroscopic rotator cuff surgery (ARCS). Methods: Data and medical records of 24 patients who had rapid progressive collapse of the humeral head after ARCS performed from October 2012 to March 2016 were retrospectively analyzed. Among them, 8 patients demonstrated no evidence of osteonecrosis of the humeral head preoperatively yet developed rapid progressive collapse of the humeral head within 12 months after ARCS. Results: All patients were women with a mean age of 64.0 years (range, 52-74 years), and all of them had surgery on their dominant side. Sudden pain developed at a mean 4 months (range, 0-6 months) after index surgery. The rapid progressive collapse of the humeral head occurred within 12 months after index surgery. No clear risk factor or evidence supporting an association between ARCS and humeral head osteonecrosis was found. Conclusions: Although the cause of the rapid progressive humeral head osteonecrosis after ARCS still needs to be established, surgeons should be aware of the possible development of humeral head osteonecrosis after ARCS, especially in older women with dominant arm involvement.
DOI
10.1016/j.arthro.2017.06.051
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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