Osteonecrosis of the humeral head treated by core decompression

Dawn Mitzner Laporte, Michael A. Mont, Vivek Mohan, Henri Pierre-Jacques, Lynne C Jones, David S. Hungerford

Research output: Contribution to journalArticle

Abstract

Core decompression is one treatment used for symptomatic osteonecrosis of the humeral head. The purpose of this report was to examine the long term outcome of this procedure. Sixty-three shoulders in 43 patients who underwent a core decompression for humeral head osteonecrosis were followed up from 2 to 20 years (mean, 10 years). None of these patients had responded to nonoperative treatment before core decompression. Results of core decompression according to preoperative Ficat and Arlet stage revealed Stage I disease had 15 of 16 (94%) successful outcomes and Stage II had 15 of 17 (88%) successful outcomes. Stage III had 16 of 23 (70%) successful results and Stage IV had one of seven (14%) successful result. Core decompression of the shoulder is a safe procedure with few recognized complications and can be performed on an outpatient basis. The procedure has been successful for Stages I, II, and III osteonecrosis in terms of early relief of pain and increased function.

Original languageEnglish (US)
Pages (from-to)254-260
Number of pages7
JournalClinical Orthopaedics and Related Research
Issue number355
StatePublished - Oct 1998

Fingerprint

Humeral Head
Osteonecrosis
Decompression
Outpatients
Pain
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Laporte, D. M., Mont, M. A., Mohan, V., Pierre-Jacques, H., Jones, L. C., & Hungerford, D. S. (1998). Osteonecrosis of the humeral head treated by core decompression. Clinical Orthopaedics and Related Research, (355), 254-260.

Osteonecrosis of the humeral head treated by core decompression. / Laporte, Dawn Mitzner; Mont, Michael A.; Mohan, Vivek; Pierre-Jacques, Henri; Jones, Lynne C; Hungerford, David S.

In: Clinical Orthopaedics and Related Research, No. 355, 10.1998, p. 254-260.

Research output: Contribution to journalArticle

Laporte, DM, Mont, MA, Mohan, V, Pierre-Jacques, H, Jones, LC & Hungerford, DS 1998, 'Osteonecrosis of the humeral head treated by core decompression', Clinical Orthopaedics and Related Research, no. 355, pp. 254-260.
Laporte, Dawn Mitzner ; Mont, Michael A. ; Mohan, Vivek ; Pierre-Jacques, Henri ; Jones, Lynne C ; Hungerford, David S. / Osteonecrosis of the humeral head treated by core decompression. In: Clinical Orthopaedics and Related Research. 1998 ; No. 355. pp. 254-260.
@article{38bf4249bf8446dd9c7cec09491670de,
title = "Osteonecrosis of the humeral head treated by core decompression",
abstract = "Core decompression is one treatment used for symptomatic osteonecrosis of the humeral head. The purpose of this report was to examine the long term outcome of this procedure. Sixty-three shoulders in 43 patients who underwent a core decompression for humeral head osteonecrosis were followed up from 2 to 20 years (mean, 10 years). None of these patients had responded to nonoperative treatment before core decompression. Results of core decompression according to preoperative Ficat and Arlet stage revealed Stage I disease had 15 of 16 (94{\%}) successful outcomes and Stage II had 15 of 17 (88{\%}) successful outcomes. Stage III had 16 of 23 (70{\%}) successful results and Stage IV had one of seven (14{\%}) successful result. Core decompression of the shoulder is a safe procedure with few recognized complications and can be performed on an outpatient basis. The procedure has been successful for Stages I, II, and III osteonecrosis in terms of early relief of pain and increased function.",
author = "Laporte, {Dawn Mitzner} and Mont, {Michael A.} and Vivek Mohan and Henri Pierre-Jacques and Jones, {Lynne C} and Hungerford, {David S.}",
year = "1998",
month = "10",
language = "English (US)",
pages = "254--260",
journal = "Clinical Orthopaedics and Related Research",
issn = "0009-921X",
publisher = "Springer New York",
number = "355",

}

TY - JOUR

T1 - Osteonecrosis of the humeral head treated by core decompression

AU - Laporte, Dawn Mitzner

AU - Mont, Michael A.

AU - Mohan, Vivek

AU - Pierre-Jacques, Henri

AU - Jones, Lynne C

AU - Hungerford, David S.

PY - 1998/10

Y1 - 1998/10

N2 - Core decompression is one treatment used for symptomatic osteonecrosis of the humeral head. The purpose of this report was to examine the long term outcome of this procedure. Sixty-three shoulders in 43 patients who underwent a core decompression for humeral head osteonecrosis were followed up from 2 to 20 years (mean, 10 years). None of these patients had responded to nonoperative treatment before core decompression. Results of core decompression according to preoperative Ficat and Arlet stage revealed Stage I disease had 15 of 16 (94%) successful outcomes and Stage II had 15 of 17 (88%) successful outcomes. Stage III had 16 of 23 (70%) successful results and Stage IV had one of seven (14%) successful result. Core decompression of the shoulder is a safe procedure with few recognized complications and can be performed on an outpatient basis. The procedure has been successful for Stages I, II, and III osteonecrosis in terms of early relief of pain and increased function.

AB - Core decompression is one treatment used for symptomatic osteonecrosis of the humeral head. The purpose of this report was to examine the long term outcome of this procedure. Sixty-three shoulders in 43 patients who underwent a core decompression for humeral head osteonecrosis were followed up from 2 to 20 years (mean, 10 years). None of these patients had responded to nonoperative treatment before core decompression. Results of core decompression according to preoperative Ficat and Arlet stage revealed Stage I disease had 15 of 16 (94%) successful outcomes and Stage II had 15 of 17 (88%) successful outcomes. Stage III had 16 of 23 (70%) successful results and Stage IV had one of seven (14%) successful result. Core decompression of the shoulder is a safe procedure with few recognized complications and can be performed on an outpatient basis. The procedure has been successful for Stages I, II, and III osteonecrosis in terms of early relief of pain and increased function.

UR - http://www.scopus.com/inward/record.url?scp=0031766272&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031766272&partnerID=8YFLogxK

M3 - Article

SP - 254

EP - 260

JO - Clinical Orthopaedics and Related Research

JF - Clinical Orthopaedics and Related Research

SN - 0009-921X

IS - 355

ER -