Osteonecrosis of the Humeral Head

Sugano, Nobuhiko

doi:10.1007/978-3-642-35767-1_54

Cited by 2 publications

(3 citation statements)

References 41 publications

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“…Osteonecrosis of the femoral head (ONFH) is a progressive disease, which if left untreated it will lead to the femoral head collapsing and hip dysfunction that severely affect patients’ life quality. [ 1 , 2 ] The disease occurs predominantly in 30- to 50 years’ old patients, [ 3 , 4 ] among them total hip arthroplasty will be performed in 80%. [ 5 ] Preservation of the femoral head is the ultimate goal to the treatment of ONFH.…”

Section: Introductionmentioning

confidence: 99%

Core decompression, lesion clearance and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head

Hao

Zhu

et al. 2018

Medicine

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The aim of this study was to evaluate the clinical effect of core decompression (CD), lesion clearance, and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head (ONFH).A total of 75 patients (92 hips), with ONFH at Association Research Circulation Osseous (ARCO) stages II to IIIA, were studied and divided into treatment group and control group. In control group, patients were treated with the CD in combination with autologous or artificial ceramic bone graft. In treatment group, patients were treated with the above method combined with Tongluo Shenggu decoction. Patients were followed-up at 1 month, 6 months, and 24 months after surgery. The visual analogue scale (VAS) scores, Harris Hip Score (HSS), and total effective rates were measured and recorded.The total effective rate of the treatment group was significantly higher than that of the control group (97.2% vs. 89.9%, P < .05). Compared with preoperative, the VAS and HSS scores were both improved at final follow-up, and there was significant difference between 2 groups (P < .01).The combination of CD, lesion clearance, and the bone graft with Tongluo Shenggu decoction is safe and effective for the treatment of ONFH, owing to which it can provide higher postoperative functional outcomes, reduce pain, and achieve smaller osteonecrosis area and better bone changes.

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Section: Introductionmentioning

confidence: 99%

Core decompression, lesion clearance and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head

Hao

Zhu

et al. 2018

Medicine

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“…Using MR examinations, both patients were initially assessed for osteonecrosis of the humeral head. Although MRI achieves excellent sensitivity, due to the inherent nature of the test, there is a high false-positive rate [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Common etiologies include post-traumatic sequelae, corticosteroid use, and alcoholism. Osteonecrosis of the humeral head is not only incredibly rare, but is frequently asymptomatic until the head collapses due to the lack of weight bearing burden at the shoulder joint [ 10 ]. Furthermore, osteonecrosis progression has not been shown to be reversible.…”

Section: Discussionmentioning

confidence: 99%

Focal Bone Marrow Lesions: A Complication of Ultrasound Diathermy

Kim

Kang

Kim³

et al. 2019

Clin Shoulder Elbow

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Ultrasound diathermy is widely used for the treatment of musculoskeletal disorders and other soft tissue injuries. Its use as a therapeutic modality is believed to be safe, with very few reported complications. Here, we report two patients who developed focal bone marrow abnormalities after receiving ultrasound diathermy. Both patients’ magnetic resonance (MR) evaluations revealed linear subchondral bone lesions of the superolateral humeral head similar to those in osteonecrosis. The patients’ symptoms subsequently improved, and available follow-up MR evaluation revealed near complete resolution of bone lesions. These findings suggest that ultrasound diathermy, and its interaction with bone tissue through thermal mechanisms, can cause focal bone marrow abnormalities. Furthermore, the bone marrow abnormalities seem to be transient, resolving upon cessation of ultrasound diathermy, therefore osteonecrosis should be differentiated from this temporal lesion.

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Osteonecrosis of the Humeral Head

Cited by 2 publications

References 41 publications

Core decompression, lesion clearance and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head

Core decompression, lesion clearance and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head

Focal Bone Marrow Lesions: A Complication of Ultrasound Diathermy

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