Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

Cho,  Hyun Ik; Cho,  Hyung Lae; Hwang,  Tae Hyok; Wang,  Tae Hyun; Cho,  Hong

doi:2015.18.3.167

Clin Shoulder Elb > Volume 18(3); 2015 > Article

Case Report

Clinics in Shoulder and Elbow 2015;18(3):167-171.
DOI: https://doi.org/10.5397/cise.2015.18.3.167 Published online September 30, 2015.

Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

Hyun Ik Cho, Hyung Lae Cho, Tae Hyok Hwang, Tae Hyun Wang, Hong Cho

Department of Orthopaedic Surgery, Good Samsun Hospital, Busan, Korea. toocoolyo@naver.com

Received: 8 June 2015 • Revised: 13 July 2015 • Accepted: 24 August 2015

Abstract

Humeral head chondrolysis has been widely reported as a devastating complication after arthroscopic shoulder surgery; however little is known about post-arthroscopic humeral head osteonecrosis. We experienced a 66-year-old female patient with rapidly progressive osteonecrosis of the humeral head only seven months after arthroscopic Bankart and rotator cuff repair. The patient had no systemic risk factors for osteonecrosis. A satisfactory result was achieved with reverse total shoulder arthroplasty for severe humeral head destruction and an irreparable massive rotator cuff tear. Shoulder surgeons should be aware of such severe complication, perform routine radiographs, and pay close attention to the presence of constant pain or loss of motion after arthroscopic shoulder surgery.

Key Words: Shoulder arthroscopy; Osteonecrosis; Reverse total shoulder arthroplasty