Osteochondritis Dissecans of the Humeral Head: A Case Report and Review of the Literature

Document Type : CASE REPORT

Authors

1 Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran

2 Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

 
Osteochondritis dissecans (OCD) is a common joint disorder in knee, ankle and elbow, however it can be rarely found in glenohumeral joint. In this study, we report an asymptomatic case of humeral head OCD, which was detected incidentally following a trauma. X-rays showed an area of lucency around an oval bony fragment measuring about 1 cm on the superior aspect of the humeral head. However, the patient was pain-free and the shoulder range of motion was normal.

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Main Subjects


1. Shea KG, Jacobs JC Jr, Carey JL, Anderson AF, Oxford
JT. Osteochondritisdissecans knee histology studies
have variable findings and theories of etiology.Clin
Orthop Relat Res 2013;471(4):1127-36.
2. Talusan PG, Milewski MD, Toy JO, Wall EJ.
Osteochondritis dissecans of the talus: diagnosis
and treatment in athletes. Clin Sports Med
2014;33(2):267-84.
3. Nissen CW. Osteochondritis dissecans of the elbow.
Clin Sports Med 2014;33(2):251-65.
4. Carey JL, Grimm NL. Treatment algorithm for
osteochondritis dissecans of the knee. Orthop Clin
North Am 2015;46(1):141-6.
5. Anderson WJ, Guilford WB. Osteochondritis dissecans
of the humeral head. An unusual cause of shoulder
pain. Clin Orthop Relat Res 1983;(173):166-8.
6. Ganter M, Reichelt A. Osteochondrosis dissecans
of the humeral head. Z OrthopIhre Grenzgeb
1996;134(1):73-5
7. Hamada S, Hamada M, Nishiue S, Doi T.
Osteochondritis dissecans of the humeral head.
Arthroscopy 1992;8(1):132-7.
8. Ishikawa H, Ueba Y, Yonezawa T. osteochondritis
dissecans of the shoulder in a tennis player. Am j
Sports Med 1988;16:547-550.
9. Itoh K, Ishii S, Usui M. osteochondritis dissecans of
the humeral head. Katakansetu 1989;13:68-73.
10. Johnson DL, Warner JJ. Osteochondritis dissecans
of the humeral head: treatment with a matched
osteochondral allograft. J Shoulder Elbow Surg.
1997;6:160-163.
11. Miller LF, Hilkevitch A. Osteochondritis dissecans of
the shoulder. Am J Roentgenol Radium Ther 1950
Feb;63(2):223-7.
12. Petrini A, Grassi G, Zaccaria CP. Osteochondrite
dissecante della testaomerale. Chir Org Mov
1984;59:83-85.
13. Pydisetty RV, Prasad SS, Kaye JC. Osteochondritis
dissecans of the humeral head in an amateur boxer. J
Shoulder Elbow Surg 2002;11:630-632.
14. Salmon MJ. Osteochondrite dissequante du coude
et de l’epaule. Bull et MemSoc Anat de Paris
1923;93:608-612.
15. Debeer P, Brys P. Osteochondritis dissecans of the
humeral head: clinical and radiological findings. Acta
Orthop Belg 2005;71(4):484-8.
16. Gogus A, Ozturk C. Osteochondritis dissecans of the
glenoid cavity: a case report. Arch Orthop Trauma
Surg 2008;128(5):457-60.
17. Lunden JB, Legrand AB. Osteochondritis dissecans
of the humeral head. J Orthop Sports Phys Ther
2012;42(10):886.
18. Mahirogullari M, Chloros GD, Wiesler ER, Ferguson
C, Poehling GG.Osteochondritis dissecans of the
humeral head. Joint Bone Spine 2008;75(2):226-8.
19. Bruggeman M, Van Vynckt D, Van Ryssen B, Bolln G,
Chiers K, Gielen I, etal. Osteochondritis dissecans of
the humeral head in two small-breed dogs. Vet Rec
2010;166(5):139-41.
20. Usher BW Jr, Friedman RJ. Steroid-induced
osteonecrosis of the humeral head. Orthopedics
1995;18(1):47-51.
21. Poignard A, Flouzat-Lachaniette CH, Amzallag J,
Galacteros F, Hernigou P.The natural progression 
of symptomatic humeral head osteonecrosis in
adults with sickle cell disease. J Bone Joint Surg Am
2012;94(2):156-62.
22. Harreld KL, Marker DR, Wiesler ER, Shafiq B, Mont
MA. Osteonecrosis of the humeral head. J Am Acad
Orthop Surg 2009;17(6):345-55.