Editorial Commentary: “Just When I Thought I'd Seen Everything That Could Go Wrong?” (Often Overheard in the Surgeon's Lounge): Osteonecrosis of the Humeral Head After Arthroscopic Rotator Cuff Surgery

Weber, Stephen C.

doi:10.1016/j.arthro.2017.08.276

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Etiology Of Humeral Head Avn1

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2023

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“…Multiple case reports have suggested that suture anchors may result in subsequent AVN development due to postsurgical interruption of blood supply 25,26,27 . However, others have suggested that the exact relationship between rotator cuff anchors and HH AVN development is unclear, but surgeons should be aware of this potential complication 28 .…”

Section: Etiology Of Humeral Head Avnmentioning

confidence: 99%

Humeral Head Avascular Necrosis

et al. 2023

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Avascular necrosis (AVN) of the humeral head is the result of ischemic injury to the epiphyseal bone leading to humeral head collapse and arthritis.Common causes include trauma, chronic corticosteroid use, or systemic disease processes, such as sickle cell disease, systemic lupus erythematosus, or alcohol abuse.Nonoperative treatment consists of risk factor management, physical therapy, anti-inflammatory medications, and activity modification.Surgical treatment options include arthroscopic debridement, core decompression, vascularized bone grafts, and shoulder arthroplasty.

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