Source:http://linkedlifedata.com/resource/pubmed/id/19714276
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2009-8-28
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pubmed:abstractText |
Core decompression of the humeral head has previously been used as a joint-preserving procedure for treatment of symptomatic osteonecrosis of the shoulder. In this article, we describe a new decompression technique, which involves multiple small-diameter (3-mm) percutaneous perforations. In our study population (early-stage disease), shoulder arthroplasty was avoided in all 15 patients (26 shoulders) for a mean follow-up of 32 months (range, 24-41 months). Of the 26 shoulders, 25 had successful clinical and functional outcomes (University of California Los Angeles shoulder score, >24 points), and 1 showed radiographic progression of the disease but has not needed further operative treatment. We compared our decompression results with those of a nonoperative historical control group, identified through a literature search. There was a 48% (143/299) rate of progression to arthroplasty in the control group at a follow-up ranging from 2 to 4.5 years. This outpatient, percutaneous perforations technique appears to be a low-morbidity method for relieving symptoms and deferring shoulder arthroplasty in patients with symptomatic osteonecrosis of the humeral head.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1934-3418
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
348-54
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pubmed:dateRevised |
2010-1-5
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pubmed:meshHeading |
pubmed-meshheading:19714276-Adolescent,
pubmed-meshheading:19714276-Adult,
pubmed-meshheading:19714276-Ambulatory Surgical Procedures,
pubmed-meshheading:19714276-Decompression, Surgical,
pubmed-meshheading:19714276-Female,
pubmed-meshheading:19714276-Humans,
pubmed-meshheading:19714276-Humerus,
pubmed-meshheading:19714276-Male,
pubmed-meshheading:19714276-Middle Aged,
pubmed-meshheading:19714276-Osteonecrosis,
pubmed-meshheading:19714276-Recovery of Function,
pubmed-meshheading:19714276-Risk Factors,
pubmed-meshheading:19714276-Shoulder Joint,
pubmed-meshheading:19714276-Surgical Procedures, Minimally Invasive,
pubmed-meshheading:19714276-Young Adult
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pubmed:year |
2009
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pubmed:articleTitle |
Small-diameter percutaneous decompression for osteonecrosis of the shoulder.
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pubmed:affiliation |
Department of Orthopaedic Surgery, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, USA.
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pubmed:publicationType |
Journal Article
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