KMID : 0828620090130020174
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Journal of Korean Arthroscopy Society 2009 Volume.13 No. 2 p.174 ~ p.178
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Arthroscopic assisted Core Decompression of Humeral Head Osteonecrosis - Technical Note -
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Cho Chul-Hyun
Sohn Sung-Won Bae Ki-Choer Kim Dong-Hu
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Abstract
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Purpose: We introduce arthroscopic assisted core decompression for humeral head osteonecrosis.
Operative technique: After diagnostic shoulder arthroscopy is performed using posterior and anterior portal, we make a 2 cm lateral skin incision approximately 3 cm distal to 1/3 of lateral margin of the acromion and place short gray cannula to prevent adjacent soft tissue injury when insert guide pin. Under C-arm fluoroscopic and arthroscopic guidance, 3 to 4 guide pins are inserted toward the necrotic area. Then we perform drilling using 7.0 mm reamer.
Conclusion: We believe this technique is a less invasive approach and avoids the complications comparing to deltopectoral approach. Arthroscopic assisted core decompression is an effective procedure in management of early stage of the humeral head osteonecoris.
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KEYWORD
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Humeral head, Osteonecrosis, Arthroscopic assisted Core decompression
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