Shoulder arthroplasty for post-traumatic osteonecrosis of the humeral head

Background Osteonecrosis (ON) of the humeral head is a known complication of proximal humeral trauma. Prosthetic replacement may be the last option to treat the associated pain. Depending on the condition of the glenoid, hemiarthroplasty (HA) or total shoulder arthroplasty (TSA) can be considered. T...

Full description

Saved in:
Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2016-03, Vol.25 (3), p.406-412
Main Authors: Schoch, Bradley S., MD, Barlow, Jonathan D., MD, MS, Schleck, Cathy, BS, Cofield, Robert H., MD, Sperling, John W., MD, MBA
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement - adverse effects
Female
Follow-Up Studies
hemiarthroplasty
Hemiarthroplasty - adverse effects
Humans
Humeral Head - pathology
Humeral Head - surgery
Male
Middle Aged
Orthopedics
Osteoarthritis - surgery
Osteonecrosis - complications
Osteonecrosis - physiopathology
Osteonecrosis - surgery
Pain - etiology
Patient Satisfaction
post-traumatic avascular necrosis
Range of Motion, Articular
Reoperation
Retrospective Studies
Rotation
Rotator Cuff - surgery
Shoulder Joint - injuries
Shoulder Joint - surgery
Total shoulder arthroplasty
Treatment Outcome
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Osteonecrosis (ON) of the humeral head is a known complication of proximal humeral trauma. Prosthetic replacement may be the last option to treat the associated pain. Depending on the condition of the glenoid, hemiarthroplasty (HA) or total shoulder arthroplasty (TSA) can be considered. To date, the peer reviewed literature offers limited direction on the better treatment for this population. Methods Between 1973 and 2010, 93 arthroplasties were performed for post-traumatic ON of the humeral head after conservative treatments failed. Of these, 37 HAs and 46 TSAs were monitored for a minimum of 2 years (mean, 8.9 years) or until reoperation. Results The HA and TSA groups showed improvements in pain ( P  
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2015.08.041