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

Je Kyun Kim, Hyeon Jang Jeong, Sang Jin Shin, Jae Chul Yoo, Tae Yon Rhie, Kyoung Jin Park, Joo Han Oh

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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. Level of Evidence Level IV, prognostic case series.

Original languageEnglish
Pages (from-to)41-47
Number of pages7
JournalArthroscopy - Journal of Arthroscopic and Related Surgery
Volume34
Issue number1
DOIs
StatePublished - Jan 2018

Bibliographical note

Publisher Copyright:
© 2017 Arthroscopy Association of North America

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