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KMID : 0828620090130020174
Journal of Korean Arthroscopy Society
2009 Volume.13 No. 2 p.174 ~ p.178
Arthroscopic assisted Core Decompression of Humeral Head Osteonecrosis - Technical Note -
Cho Chul-Hyun

Sohn Sung-Won
Bae Ki-Choer
Kim Dong-Hu
Abstract
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.
KEYWORD
Humeral head, Osteonecrosis, Arthroscopic assisted Core decompression
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