The Management of Localized Articular Cartilage Lesions of the Humeral Head in the Athlete

Dawson, Courtney K.; Rolf, Robert H.; Holovacs, Thomas F.

doi:10.1053/j.otsm.2008.08.004

Cited by 13 publications

(5 citation statements)

References 21 publications

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“…Generell können die Implantate zur Deckung von beispielsweise degenerativen oder posttraumatischen Knorpelläsionen in allen großen Gelenken angewendet werden. Typische schulterspezifische Indikationen sind vor allem frühe Stadien der Omarthrose oder der Humeruskopfnekrose sowie traumatische Knorpeldefekte [ 2 , 10 ].…”

Section: Diskussionunclassified

Die Behandlung des Chondroblastoms im Humeruskopf

et al. 2020

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ZusammenfassungWir präsentieren den Fall einer 22-jährigen Patientin mit einem histopathologisch gesicherten Chondroblastom des rechten Humeruskopfes. Um bei der jungen und funktionell anspruchsvollen Patientin eine möglichst schonende und anatomische Rekonstruktion der humeralen Gelenkfläche zu erzielen, ohne dabei auf einen totalendoprothetischen Gelenkersatz zurückzugreifen, implantierten wir nach intraläsionaler Kürettage des Chondroblastoms eine HemiCAP®. Die sehr guten funktionellen Kurzzeitergebnisse zeigen, dass dieser Therapieansatz eine sehr gute Behandlungsoption darstellen kann.

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Section: Diskussionunclassified

Die Behandlung des Chondroblastoms im Humeruskopf

et al. 2020

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“…For younger, active patients with a humeral head defect, resurfacing arthroplasty is an alternative to reconstruction with osteochondral grafts or a stemmed hemiarthroplasty (Figure 8). Dawson and colleagues 19 reviewed the indications and technique for the HemiCAP (Arthrosurface, Franklin, Massachusetts) resurfacing system in localized humeral head defects, including Hill-Sachs and reverse Hill-Sachs lesions. Benefits include preservation of bone stock, which makes future revision easier, and restoration of the normal articular surface without the technical difficulty of precisely matching osteochondral grafts to the articular curvature.…”

Section: Operative Treatment Of Hill-sachs Lesionsmentioning

confidence: 99%

Diagnosis and Management of Humeral Head Bone Loss in Shoulder Instability

Skendzel

Sekiya

2012

Am J Sports Med

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Humeral head bone defects (Hill-Sachs lesions) are caused by anterior shoulder dislocation with impaction of the posterosuperior humeral head onto the anterior glenoid rim. Frequently, these bony lesions are associated with glenohumeral instability, and large lesions may contribute to recurrent instability after failure of a soft tissue repair. To improve outcomes and minimize the risk of persistent instability, a thorough understanding of the biomechanics of humeral bone loss is required. Detection and quantification of clinically relevant humeral head bone loss are performed through an accurate history, physical examination, and interpretation of imaging studies. The diagnosis and treatment options for reverse Hill-Sachs lesions are discussed, and the various treatment options for Hill-Sachs lesions are reviewed, including operative techniques to limit engagement of the deformity by soft tissue transfer, rotational osteotomy, bone grafting, or osteochondral transplantation.

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“…If the size of the lesion is significant and presents a risk for recurrence of the instability after a glenoid based procedure, options for the management of these defects include remplissage, allograft replacement of the defect, rotational osteotomy, and partial resurfacing. Reports of all of these techniques are limited in the literature; however, [22][23][24][25] the use of a limited resurfacing of the defect using the hemi-Cap (Arthrosurface) provides many advantages. The prosthesis maintains the normal inclination and version of the proximal humerus as well as the balance of the soft tissues.…”

Section: Instabilitymentioning

confidence: 99%