Post-traumatic osteonecrosis of the proximal humerus

Injury. 2015 Oct;46(10):1878-84. doi: 10.1016/j.injury.2015.06.026. Epub 2015 Jun 19.

Abstract

Post-traumatic osteonecrosis of the proximal humerus represents a challenging problem to the surgeon. It is commonly seen following multi-fragmentary fractures of the proximal humerus which may affect the long-term functional recovery after such injuries. This review summarises the current evidence on risk factors, reasons why estimating its epidemiology is difficult, the vascular supply of the humeral head, classification, and management options.

Keywords: Osteonecrosis; Shoulder fractures.

Publication types

  • Review

MeSH terms

  • Adult
  • Bone Plates
  • Fracture Fixation, Internal / adverse effects
  • Fracture Fixation, Internal / methods*
  • Humans
  • Humeral Head / diagnostic imaging*
  • Humeral Head / pathology
  • Humerus / blood supply*
  • Humerus / injuries
  • Osteonecrosis / etiology
  • Osteonecrosis / pathology*
  • Osteonecrosis / surgery
  • Risk Factors
  • Shoulder Fractures / complications
  • Shoulder Fractures / diagnostic imaging*
  • Shoulder Fractures / pathology