| Autor: |
Kevin L, Harreld, German A, Marulanda, Slif D, Ulrich, David R, Marker, Thorsten M, Seyler, Michael A, Mont |
| Rok vydání: |
2009 |
| Předmět: |
|
| Zdroj: |
American journal of orthopedics (Belle Mead, N.J.). 38(7) |
| ISSN: |
1934-3418 |
| Popis: |
Core decompression of the humeral head has previously been used as a joint-preserving procedure for treatment of symptomatic osteonecrosis of the shoulder. In this article, we describe a new decompression technique, which involves multiple small-diameter (3-mm) percutaneous perforations. In our study population (early-stage disease), shoulder arthroplasty was avoided in all 15 patients (26 shoulders) for a mean follow-up of 32 months (range, 24-41 months). Of the 26 shoulders, 25 had successful clinical and functional outcomes (University of California Los Angeles shoulder score,24 points), and 1 showed radiographic progression of the disease but has not needed further operative treatment. We compared our decompression results with those of a nonoperative historical control group, identified through a literature search. There was a 48% (143/299) rate of progression to arthroplasty in the control group at a follow-up ranging from 2 to 4.5 years. This outpatient, percutaneous perforations technique appears to be a low-morbidity method for relieving symptoms and deferring shoulder arthroplasty in patients with symptomatic osteonecrosis of the humeral head. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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