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Eur J Trauma Emerg Surg. 2008 Dec;34(6):601-5. doi: 10.1007/s00068-008-7110-4. Epub 2008 Jul 11.

Aseptic Osteonecrosis of the Humeral Head After Anterior Shoulder Dislocation.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

Fabrice Gaudot, Thomas Gregory, Bernard Augereau, Emmanuel H Masmejean

Affiliations

  1. Hand and Peripheral Nerve Surgery Unit, Trauma and Orthopedics Department, AP-HP, Georges Pompidou European Hospital (HEGP), Paris Cedex 15, France. [email protected].
  2. Hand and Peripheral Nerve Surgery Unit, Trauma and Orthopedics Department, AP-HP, Georges Pompidou European Hospital (HEGP), 20, Rue Leblanc, 75908, Paris Cedex 15, France. [email protected].

PMID: 26816287 DOI: 10.1007/s00068-008-7110-4

Abstract

Anterior shoulder dislocation is a very common trauma and the main complications are well documented. We report a case of aseptic osteonecrosis of the humeral head following an isolated episode of anterior glenohumeral dislocation without fracture that, to our knowledge, has never been reported in the literature.A 17-year-old male patient sustained an anterior glenohumeral dislocation following a sport accident. It was managed by reduction and immobilization. A radiologically identified aseptic osteonecrosis appeared 6 months later. The instability had been arthroscopically treated. At a follow-up of 4 years, the osteonecrosis has been stabilized leaving a mild arthrosis with stiffness, but without pain.

Keywords: Humeral head osteonecrosis; Shoulder dislocation; Trauma

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