Arthroscopic Osteochondral Autograft Transfer for Juvenile Osteochondritis Dissecans of the Humeral Head: A Case Report

JBJS Case Connect. 2017 Jul-Sep;7(3):e63. doi: 10.2106/JBJS.CC.17.00003.

Abstract

Case: Osteochondritis dissecans (OCD) rarely affects the humeral head. We describe a 14-year-old adolescent who, despite conservative treatment, had persistent pain in the left shoulder as well as limited function. Radiographs and a computed tomography (CT) arthrogram revealed an osteochondral defect of the humeral head. He was managed with an arthroscopic osteochondral autograft transfer from the knee, which provided a satisfactory outcome.

Conclusion: Arthroscopic osteochondral autograft transfer is an effective option for the treatment of OCD of the humeral head.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Arthroscopy / methods*
  • Autografts / transplantation*
  • Humans
  • Humeral Head / diagnostic imaging
  • Humeral Head / pathology
  • Humeral Head / transplantation*
  • Knee Joint / cytology
  • Knee Joint / surgery
  • Male
  • Osteochondritis Dissecans / diagnostic imaging
  • Osteochondritis Dissecans / surgery*
  • Range of Motion, Articular / physiology
  • Shoulder / diagnostic imaging
  • Shoulder / pathology
  • Shoulder / surgery
  • Tomography, X-Ray Computed / methods
  • Transplantation, Autologous / methods
  • Treatment Outcome