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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2015

01-05-2015 | Shoulder

Arthroscopically assisted retrograde drilling of the humeral head with a guiding device

Authors: Jörn Kircher, Thilo Patzer, Christoph Ziskoven, Bernd Bittersohl, Achim Hedtmann, Rüdiger Krauspe

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2015

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Abstract

This manuscript describes the successful treatment of a steroid-induced avascular necrosis of the humeral head using arthroscopically assisted retrograde drilling of a stage II lesion using a guiding device. At the final follow-up 19 month post-operatively, the patient presented pain-free without functional limitations although the osteonecrosis had not been fully healed.
Literature
1.
go back to reference Bastian JD, Hertel R (2008) Initial post-fracture humeral head ischemia does not predict development of necrosis. J Shoulder Elbow Surg 17(1):2–8CrossRefPubMed Bastian JD, Hertel R (2008) Initial post-fracture humeral head ischemia does not predict development of necrosis. J Shoulder Elbow Surg 17(1):2–8CrossRefPubMed
2.
go back to reference Beauthier V, Sanghavi S, Roulot E, Hardy P (2010) Humeral head osteonecrosis following arthroscopic rotator cuff repair. Knee Surg Sports Traumatol Arthrosc 18(10):1432–1434CrossRefPubMed Beauthier V, Sanghavi S, Roulot E, Hardy P (2010) Humeral head osteonecrosis following arthroscopic rotator cuff repair. Knee Surg Sports Traumatol Arthrosc 18(10):1432–1434CrossRefPubMed
3.
go back to reference Brannon JK (2011) Thorough debridement of the humeral head for osteonecrosis. Orthopedics 34(1):56PubMed Brannon JK (2011) Thorough debridement of the humeral head for osteonecrosis. Orthopedics 34(1):56PubMed
4.
go back to reference Chapman C, Mattern C, Levine WN (2004) Arthroscopically assisted core decompression of the proximal humerus for avascular necrosis. Arthroscopy 20(9):1003–1006CrossRefPubMed Chapman C, Mattern C, Levine WN (2004) Arthroscopically assisted core decompression of the proximal humerus for avascular necrosis. Arthroscopy 20(9):1003–1006CrossRefPubMed
5.
go back to reference Cruess RL (1978) Experience with steroid-induced avascular necrosis of the shoulder and etiologic considerations regarding osteonecrosis of the hip. Clin Orthop Relat Res 130:86–93PubMed Cruess RL (1978) Experience with steroid-induced avascular necrosis of the shoulder and etiologic considerations regarding osteonecrosis of the hip. Clin Orthop Relat Res 130:86–93PubMed
6.
go back to reference Cruess RL (1986) Osteonecrosis of bone. Current concepts as to etiology and pathogenesis. Clin Orthop Relat Res 208:30–39PubMed Cruess RL (1986) Osteonecrosis of bone. Current concepts as to etiology and pathogenesis. Clin Orthop Relat Res 208:30–39PubMed
7.
go back to reference Dexel J, Kasten P (2013) Bilateral idiopathic osteonecrosis of the major tubercle of the humerus. Knee Surg Sports Traumatol Arthrosc 21(5):1168–1170CrossRefPubMed Dexel J, Kasten P (2013) Bilateral idiopathic osteonecrosis of the major tubercle of the humerus. Knee Surg Sports Traumatol Arthrosc 21(5):1168–1170CrossRefPubMed
8.
go back to reference Dilisio MF, Noble JS, Bell RH, Noel CR (2013) Postarthroscopic humeral head osteonecrosis treated with reverse total shoulder arthroplasty. Orthopedics 36(3):e377–e380CrossRefPubMed Dilisio MF, Noble JS, Bell RH, Noel CR (2013) Postarthroscopic humeral head osteonecrosis treated with reverse total shoulder arthroplasty. Orthopedics 36(3):e377–e380CrossRefPubMed
9.
go back to reference Dines JS, Strauss EJ, Fealy S, Craig EV (2007) Arthroscopic-assisted core decompression of the humeral head. Arthroscopy 23(1):103.e1–103.e4 Dines JS, Strauss EJ, Fealy S, Craig EV (2007) Arthroscopic-assisted core decompression of the humeral head. Arthroscopy 23(1):103.e1–103.e4
10.
go back to reference Fessel J (2013) There are many potential medical therapies for atraumatic osteonecrosis. Rheumatology (Oxford) 52(2):235–241CrossRef Fessel J (2013) There are many potential medical therapies for atraumatic osteonecrosis. Rheumatology (Oxford) 52(2):235–241CrossRef
11.
go back to reference Gangji V, Hauzeur JP (2005) Treatment of osteonecrosis of the femoral head with implantation of autologous bone-marrow cells. Surgical technique. J Bone Joint Surg Am 87(Suppl 1(Pt 1)):106–112PubMed Gangji V, Hauzeur JP (2005) Treatment of osteonecrosis of the femoral head with implantation of autologous bone-marrow cells. Surgical technique. J Bone Joint Surg Am 87(Suppl 1(Pt 1)):106–112PubMed
12.
go back to reference Greiner S, Kaab MJ, Haas NP, Bail HJ (2009) Humeral head necrosis rate at mid-term follow-up after open reduction and angular stable plate fixation for proximal humeral fractures. Injury 40(2):186–191CrossRefPubMed Greiner S, Kaab MJ, Haas NP, Bail HJ (2009) Humeral head necrosis rate at mid-term follow-up after open reduction and angular stable plate fixation for proximal humeral fractures. Injury 40(2):186–191CrossRefPubMed
13.
go back to reference Habermeyer P, Kircher J (2010) Standardendoprothetik. In: Habermeyer P, Lichtenberg S, Magosch P (eds) Schulterchirurgie, 4th edn. Elsevier, Urban & Fischer, München, pp 655–745 Habermeyer P, Kircher J (2010) Standardendoprothetik. In: Habermeyer P, Lichtenberg S, Magosch P (eds) Schulterchirurgie, 4th edn. Elsevier, Urban & Fischer, München, pp 655–745
14.
go back to reference Hardy P, Decrette E, Jeanrot C, Colom A, Lortat-Jacob A, Benoit J (2000) Arthroscopic treatment of bilateral humeral head osteonecrosis. Arthroscopy 16(3):332–335CrossRefPubMed Hardy P, Decrette E, Jeanrot C, Colom A, Lortat-Jacob A, Benoit J (2000) Arthroscopic treatment of bilateral humeral head osteonecrosis. Arthroscopy 16(3):332–335CrossRefPubMed
15.
go back to reference Hasan SS, Romeo AA (2002) Nontraumatic osteonecrosis of the humeral head. J Shoulder Elbow Surg 11(3):281–298CrossRefPubMed Hasan SS, Romeo AA (2002) Nontraumatic osteonecrosis of the humeral head. J Shoulder Elbow Surg 11(3):281–298CrossRefPubMed
16.
go back to reference Hattrup SJ, Cofield RH (1999) Osteonecrosis of the humeral head: relationship of disease stage, extent, and cause to natural history. J Shoulder Elbow Surg 8(6):559–564CrossRefPubMed Hattrup SJ, Cofield RH (1999) Osteonecrosis of the humeral head: relationship of disease stage, extent, and cause to natural history. J Shoulder Elbow Surg 8(6):559–564CrossRefPubMed
17.
go back to reference Hayes JM (1989) Arthroscopic treatment of steroid-induced osteonecrosis of the humeral head. Arthroscopy 5(3):218–221CrossRefPubMed Hayes JM (1989) Arthroscopic treatment of steroid-induced osteonecrosis of the humeral head. Arthroscopy 5(3):218–221CrossRefPubMed
18.
go back to reference Heid A, Dickschas J, Schoeffl V (2013) Cortisone-induced humerus head necrosis in acute myeloid leukemia: cartilage-preserving arthroscopic spongioplasty. Unfallchirurg 116(2):180–184CrossRefPubMed Heid A, Dickschas J, Schoeffl V (2013) Cortisone-induced humerus head necrosis in acute myeloid leukemia: cartilage-preserving arthroscopic spongioplasty. Unfallchirurg 116(2):180–184CrossRefPubMed
19.
go back to reference Hernigou P, Flouzat-Lachaniette CH, Roussignol X, Poignard A (2010) The natural progression of shoulder osteonecrosis related to corticosteroid treatment. Clin Orthop Relat Res 468(7):1809–1816CrossRefPubMedCentralPubMed Hernigou P, Flouzat-Lachaniette CH, Roussignol X, Poignard A (2010) The natural progression of shoulder osteonecrosis related to corticosteroid treatment. Clin Orthop Relat Res 468(7):1809–1816CrossRefPubMedCentralPubMed
20.
go back to reference Inoue K, Suenaga N, Oizumi N, Tanaka Y, Minami A (2012) A vascularized scapular graft for juvenile osteonecrosis of the humeral head. J Shoulder Elbow Surg 21(4):e9–e13CrossRefPubMed Inoue K, Suenaga N, Oizumi N, Tanaka Y, Minami A (2012) A vascularized scapular graft for juvenile osteonecrosis of the humeral head. J Shoulder Elbow Surg 21(4):e9–e13CrossRefPubMed
21.
go back to reference Jager M, Hernigou P, Zilkens C, Herten M, Fischer J, Krauspe R (2010) Cell therapy in bone-healing disorders. Orthopade 39(4):449–462CrossRefPubMed Jager M, Hernigou P, Zilkens C, Herten M, Fischer J, Krauspe R (2010) Cell therapy in bone-healing disorders. Orthopade 39(4):449–462CrossRefPubMed
22.
go back to reference Kadono M, Kakihana K, Endo I, Kawamura M, Ohashi K, Sakamaki H (2011) Osteonecrosis of the humeral head. Int J Hematol 94(3):222–223CrossRefPubMed Kadono M, Kakihana K, Endo I, Kawamura M, Ohashi K, Sakamaki H (2011) Osteonecrosis of the humeral head. Int J Hematol 94(3):222–223CrossRefPubMed
23.
go back to reference L’Insalata JC, Pagnani MJ, Warren RF, Dines DM (1996) Humeral head osteonecrosis: clinical course and radiographic predictors of outcome. J Shoulder Elbow Surg 5(5):355–361CrossRefPubMed L’Insalata JC, Pagnani MJ, Warren RF, Dines DM (1996) Humeral head osteonecrosis: clinical course and radiographic predictors of outcome. J Shoulder Elbow Surg 5(5):355–361CrossRefPubMed
24.
go back to reference LaPorte DM, Mont MA, Mohan V, Pierre-Jacques H, Jones LC, Hungerford DS (1998) Osteonecrosis of the humeral head treated by core decompression. Clin Orthop Relat Res 355:254–260CrossRefPubMed LaPorte DM, Mont MA, Mohan V, Pierre-Jacques H, Jones LC, Hungerford DS (1998) Osteonecrosis of the humeral head treated by core decompression. Clin Orthop Relat Res 355:254–260CrossRefPubMed
25.
go back to reference Mont MA, Jones LC, Einhorn TA, Hungerford DS, Reddi AH (1998) Osteonecrosis of the femoral head. Potential treatment with growth and differentiation factors. Clin Orthop Relat Res 355(Suppl):S314–S335CrossRefPubMed Mont MA, Jones LC, Einhorn TA, Hungerford DS, Reddi AH (1998) Osteonecrosis of the femoral head. Potential treatment with growth and differentiation factors. Clin Orthop Relat Res 355(Suppl):S314–S335CrossRefPubMed
26.
go back to reference Mont MA, Payman RK, Laporte DM, Petri M, Jones LC, Hungerford DS (2000) Atraumatic osteonecrosis of the humeral head. J Rheumatol 27(7):1766–1773PubMed Mont MA, Payman RK, Laporte DM, Petri M, Jones LC, Hungerford DS (2000) Atraumatic osteonecrosis of the humeral head. J Rheumatol 27(7):1766–1773PubMed
27.
go back to reference Nakagawa Y, Ueo T, Nakamura T (1999) A novel surgical procedure for osteonecrosis of the humeral head: reposition of the joint surface and bone engraftment. Arthroscopy 15(4):433–438CrossRefPubMed Nakagawa Y, Ueo T, Nakamura T (1999) A novel surgical procedure for osteonecrosis of the humeral head: reposition of the joint surface and bone engraftment. Arthroscopy 15(4):433–438CrossRefPubMed
28.
go back to reference Poignard A, Flouzat-Lachaniette CH, Amzallag J, Galacteros F, Hernigou P (2012) The natural progression of symptomatic humeral head osteonecrosis in adults with sickle cell disease. J Bone Joint Surg Am 94(2):156–162CrossRefPubMed Poignard A, Flouzat-Lachaniette CH, Amzallag J, Galacteros F, Hernigou P (2012) The natural progression of symptomatic humeral head osteonecrosis in adults with sickle cell disease. J Bone Joint Surg Am 94(2):156–162CrossRefPubMed
29.
go back to reference Rindell K (1987) Muscle pedicled bone graft in revascularization of aseptic necrosis of the humeral head. Ann Chir Gynaecol 76(5):283–285PubMed Rindell K (1987) Muscle pedicled bone graft in revascularization of aseptic necrosis of the humeral head. Ann Chir Gynaecol 76(5):283–285PubMed
30.
go back to reference Sahajpal DT, Zuckerman JD (2008) Core decompression for nontraumatic osteonecrosis of the humeral head: a technique article. Bull NYU Hosp Jt Dis 66(2):118–119PubMed Sahajpal DT, Zuckerman JD (2008) Core decompression for nontraumatic osteonecrosis of the humeral head: a technique article. Bull NYU Hosp Jt Dis 66(2):118–119PubMed
31.
go back to reference Sakai T, Sugano N, Nishii T, Hananouchi T, Yoshikawa H (2008) Extent of osteonecrosis on MRI predicts humeral head collapse. Clin Orthop Relat Res 466(5):1074–1080CrossRefPubMedCentralPubMed Sakai T, Sugano N, Nishii T, Hananouchi T, Yoshikawa H (2008) Extent of osteonecrosis on MRI predicts humeral head collapse. Clin Orthop Relat Res 466(5):1074–1080CrossRefPubMedCentralPubMed
32.
go back to reference Smith RG, Sperling JW, Cofield RH, Hattrup SJ, Schleck CD (2008) Shoulder hemiarthroplasty for steroid-associated osteonecrosis. J Shoulder Elbow Surg 17(5):685–688CrossRefPubMed Smith RG, Sperling JW, Cofield RH, Hattrup SJ, Schleck CD (2008) Shoulder hemiarthroplasty for steroid-associated osteonecrosis. J Shoulder Elbow Surg 17(5):685–688CrossRefPubMed
33.
go back to reference Steinert AF, Rackwitz L, Gilbert F, Noth U, Tuan RS (2012) Concise review: the clinical application of mesenchymal stem cells for musculoskeletal regeneration: current status and perspectives. Stem Cells Transl Med 1(3):237–247CrossRefPubMedCentralPubMed Steinert AF, Rackwitz L, Gilbert F, Noth U, Tuan RS (2012) Concise review: the clinical application of mesenchymal stem cells for musculoskeletal regeneration: current status and perspectives. Stem Cells Transl Med 1(3):237–247CrossRefPubMedCentralPubMed
34.
go back to reference Suso S, Peidro L, Ramon R (1992) Avascular necrosis of the humeral head after dislocation with fracture of the greater tuberosity. Acta Orthop Belg 58(4):457–459PubMed Suso S, Peidro L, Ramon R (1992) Avascular necrosis of the humeral head after dislocation with fracture of the greater tuberosity. Acta Orthop Belg 58(4):457–459PubMed
35.
go back to reference Uribe JW, Botto-van Bemden A (2009) Partial humeral head resurfacing for osteonecrosis. J Shoulder Elbow Surg 18(5):711–716CrossRefPubMed Uribe JW, Botto-van Bemden A (2009) Partial humeral head resurfacing for osteonecrosis. J Shoulder Elbow Surg 18(5):711–716CrossRefPubMed
Metadata
Title
Arthroscopically assisted retrograde drilling of the humeral head with a guiding device
Authors
Jörn Kircher
Thilo Patzer
Christoph Ziskoven
Bernd Bittersohl
Achim Hedtmann
Rüdiger Krauspe
Publication date
01-05-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-013-2783-6

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