eMedicine Specialties > Orthopedic Surgery > Shoulder

Osteonecrosis, Shoulder: Multimedia

Author: Michael Levine, MD, Chairman, Department of Orthopedic Surgery, Western Pennsylvania Hospital
Coauthor(s): Amar Rajadhyaksha, MD, Resident, Department of Orthopedic Surgery, New York Medical College; Michael Mont, MD, Associate Professor, Department of Orthopaedic Surgery, Johns Hopkins Medical Institution
Contributor Information and Disclosures

Updated: Mar 24, 2009

Multimedia

Shoulder osteonecrosis stage II disease.
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Media file 1: Shoulder osteonecrosis stage II disease.
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Shoulder osteonecrosis stage II disease.

Shoulder osteonecrosis stage II disease.

Shoulder osteonecrosis stage IV disease.
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Media file 2: Shoulder osteonecrosis stage IV disease.
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Shoulder osteonecrosis stage IV disease.

Shoulder osteonecrosis stage IV disease.

Shoulder hemiarthroplasty in a patient with shoul...
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Media file 3: Shoulder hemiarthroplasty in a patient with shoulder osteonecrosis.
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Shoulder hemiarthroplasty in a patient with shoul...

Shoulder hemiarthroplasty in a patient with shoulder osteonecrosis.

More on Osteonecrosis, Shoulder

Overview: Osteonecrosis, Shoulder
Workup: Osteonecrosis, Shoulder
Treatment: Osteonecrosis, Shoulder
Follow-up: Osteonecrosis, Shoulder
Multimedia: Osteonecrosis, Shoulder
References
Further Reading
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References

  1. Cruess RL. Steroid-induced avascular necrosis of the head of the humerus. Natural history and management. J Bone Joint Surg Br. Aug 1976;58(3):313-7. [Medline].

  2. Cruess RL. Experience with steroid-induced avascular necrosis of the shoulder and etiologic considerations regarding osteonecrosis of the hip. Clin Orthop Relat Res. Jan-Feb 1978;86-93. [Medline].

  3. Cushner MA, Friedman RJ. Osteonecrosis of the Humeral Head. J Am Acad Orthop Surg. Nov 1997;5(6):339-346. [Medline].

  4. Mont MA, Ulrich SD, Seyler TM, Smith JM, Marker DR, McGrath MS, et al. Bone scanning of limited value for diagnosis of symptomatic oligofocal and multifocal osteonecrosis. J Rheumatol. Aug 2008;35(8):1629-34. [Medline].

  5. Sakai T, Sugano N, Nishii T, Hananouchi T, Yoshikawa H. Extent of osteonecrosis on MRI predicts humeral head collapse. Clin Orthop Relat Res. May 2008;466(5):1074-80. [Medline].

  6. Ficat RP, Arlet J. Necrosis of the femoral head. In: Hungerford DS. Ischemia and necrosis of bone. Baltimore, MD: Williams & Wilkins; 1980:171-82.

  7. Soohoo NF, Vyas S, Manunga J, Sharifi H, Kominski G, Lieberman JR. Cost-effectiveness analysis of core decompression. J Arthroplasty. Aug 2006;21(5):670-81. [Medline].

  8. Feeley BT, Fealy S, Dines DM, Warren RF, Craig EV. Hemiarthroplasty and total shoulder arthroplasty for avascular necrosis of the humeral head. J Shoulder Elbow Surg. Sep-Oct 2008;17(5):689-94. [Medline].

  9. Smith RG, Sperling JW, Cofield RH, Hattrup SJ, Schleck CD. Shoulder hemiarthroplasty for steroid-associated osteonecrosis. J Shoulder Elbow Surg. Sep-Oct 2008;17(5):685-8. [Medline].

  10. Tauber M, Karpik S, Matis N, Schwartz M, Resch H. Shoulder arthroplasty for traumatic avascular necrosis: predictors of outcome. Clin Orthop Relat Res. Dec 2007;465:208-14. [Medline].

  11. LaPorte DM, Mont MA, Mohan V, Pierre-Jacques H, Jones LC, Hungerford DS. Osteonecrosis of the humeral head treated by core decompression. Clin Orthop Relat Res. Oct 1998;254-60. [Medline].

  12. Mont MA, Maar DC, Urquhart MW, Lennox D, Hungerford DS. Avascular necrosis of the humeral head treated by core decompression. A retrospective review. J Bone Joint Surg Br. Sep 1993;75(5):785-8. [Medline].

  13. Kawamura K, Kawate K, Yajima H, Kobata Y, Takakura Y. Vascularized scapular grafting for treatment of osteonecrosis of the humeral head. J Reconstr Microsurg. Nov 2008;24(8):559-64. [Medline].

  14. Basmania CJ, Jaramillo JC, Wirth MA. Treatment of posttraumatic versus atraumatic avascular necrosis of the shoulder [abstract]. J Bone Joint Surg Orthop Trans. 1997;11:277.

  15. Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg Br. Jan 1985;67(1):3-9. [Medline].

  16. Iannotti JP, Williams GR. Osteonecrosis: Pathophysiology, classification and pathoanatomy. In: Disorders of the Shoulder: Diagnosis and Management. Lippincott Williams and Wilkins;1999:439-46.

  17. Loebenberg MI, Plate AM, Zuckerman JD. Osteonecrosis of the humeral head. In: Zuckerman JD. Instructional course lectures. Rosemont: American Academy of Orthopaedic Surgeons;1999: 349-58.

  18. Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am. Mar 1995;77(3):459-74. [Medline].

  19. Neer CS. Avascular necrosis of the humeral head. In: Shoulder Reconstruction. WB Saunders;1990:194-9.

  20. Petri M, Baker J, Goldman D. Risk factors for osteonecrosis in SLE [abstract]. Arthritis Rheum. 1992;35 Suppl:S110.

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Keywords

shoulder osteonecrosis, aseptic necrosis, avascular necrosis, osteonecrosis of the humeral head

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Contributor Information and Disclosures

Author

Michael Levine, MD, Chairman, Department of Orthopedic Surgery, Western Pennsylvania Hospital
Michael Levine, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Hip and Knee Surgeons, American Medical Association, Orthopaedic Research Society, Pennsylvania Medical Society, Pennsylvania Orthopaedic Society, and Phi Beta Kappa
Disclosure: encore medical Consulting fee Consulting; glaxo smith kline Honoraria Speaking and teaching

Coauthor(s)

Amar Rajadhyaksha, MD, Resident, Department of Orthopedic Surgery, New York Medical College
Disclosure: Nothing to disclose.

Michael Mont, MD, Associate Professor, Department of Orthopaedic Surgery, Johns Hopkins Medical Institution
Michael Mont, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons
Disclosure: Stryker Orthopaedics Consulting fee Consulting; Wright Medical Technology, Inc. Consulting fee Consulting

Medical Editor

Mark D Lazarus, MD, Associate Professor of Orthopedic Surgery, Medical College of Pennsylvania-Hahnemann University, Chief of Shoulder and Elbow Service, Department of Orthopedic Surgery, Hahnemann University Hospital
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Pekka A Mooar, MD, Associate Professor, Department of Orthopedic Surgery, Temple University School of Medicine
Pekka A Mooar, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Mary Ann E Keenan, MD, Professor, Vice Chair for Graduate Medical Education, Department of Orthopedic Surgery, University of Pennsylvania School of Medicine; Chief of Neuro-Orthopedics Program, Department of Orthopedic Surgery, Hospital of the University of Pennsylvania
Mary Ann E Keenan, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Orthopaedic Foot and Ankle Society, American Society for Surgery of the Hand, and Orthopaedic Rehabilitation Association
Disclosure: Nothing to disclose.

 
 
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