Zusammenfassung
Osteonekrosen sind eine häufig beobachtete Nebenwirkung bei Patienten mit längerfristiger Cortison- oder Chemotherapie. Ein junger Patient mit einer akuten myeloischen Leukämie (AML) in Vollremission stellt sich mit Schulterschmerzen vor. Wegen einer Hüftkopfnekrose wurde dem Patienten bereits eine Hüft-TEP (-Totalendoprothese) implantiert. In der nachfolgenden Darstellung wird eine Therapiealternative zum Gelenkersatz bei Osteonekrosen am Humeruskopf im Rahmen eines Fallbeispieles vorgestellt.
Abstract
Osteonecrosis is a long known side effect in patients receiving cortisone or chemotherapy. A young patient was diagnosed with acute myeloid leukemia (AML) in 2005. After receiving combined cortisone and chemotherapy the patient was in complete remission. In 2007 a total hip replacement was necessary due to femoral head necrosis. Years after the joint replacement the patient reported acute shoulder pain without trauma. In this article an alternative procedure to an endoprothesis in a young patient with a humeral head osteonecrosis is presented.
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Heid, A., Dickschas, J. & Schoeffl, V. Cortison-induzierte Humeruskopfnekrose bei akuter myeloischer Leukämie. Unfallchirurg 116, 180–184 (2013). https://doi.org/10.1007/s00113-012-2243-7
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DOI: https://doi.org/10.1007/s00113-012-2243-7