Avascular necrosis of the proximal humerus: a novel indication for the use of osteochondral allograft transplantation in the shoulder: Case report

Osteochondral allograft (OCA) transplantation is an increasingly available biologic treatment option for a range of intraarticular aetiologies. To our knowledge, no prior publication has documented the use of this technology to treat a lesion of the proximal humerus secondary to avascular necrosis (...

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Bibliographic Details
Published inJournal of ISAKOS Vol. 8; no. 5; pp. 387 - 391
Main Authors Prigmore, Brian, Tabbaa, Suzanne, Crawford, Dennis C.
Format Journal Article
LanguageEnglish
Published England Elsevier Inc 01.10.2023
Subjects
Avascular necrosis
Osteochondral allograft
Proximal humerus
Shoulder
Transplantation
Avascular necrosis
Proximal humerus
Transplantation
Osteochondral allograft
Shoulder
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Summary:Osteochondral allograft (OCA) transplantation is an increasingly available biologic treatment option for a range of intraarticular aetiologies. To our knowledge, no prior publication has documented the use of this technology to treat a lesion of the proximal humerus secondary to avascular necrosis (AVN). We describe our experience treating a 42-year-old female executive with idiopathic AVN of the proximal humerus with a fresh osteochondral allograft. Computed tomography (CT) at 3 months post-op showed full bony incorporation and a restored native joint contour. Over the initial 7 months post-operatively, she reported continued improvements in pain and function as measured by quick Disabilities of the Arm, Shoulder, and Hand (DASH) scores. She was discharged from physical therapy after 6 months, reporting no rest pain, full active and passive range of motion, and unrestricted occupational and recreational activity.
ISSN:2059-7754
2059-7762
DOI:10.1016/j.jisako.2023.07.011