title: Steroid-induced osteonecrosis of bilateral distal humerus treated by arthroplasty using costal osteochondral graft: case report.
abstract: We report the case of a 43-year-old man with steroid-induced osteonecrosis of the distal humerus in both arms. Costal osteochondral autografts were used to restore both joints with satisfactory outcomes.
authors.affiliation: Department of Orthopaedic Surgery, School of Medicine, Keio University, Shinjuku-ku, Tokyo, Japan.
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Watanabe
authors.forename: Kazuki
authors.initials: K
authors.lastname: Sato
authors.forename: Toshiyasu
authors.initials: T
authors.lastname: Nakamura
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Obara
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Toyama
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Ikegami
mesh_terms: D000328:Adult; D001178:Arthroplasty / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods; D002356:Cartilage / Q000637:transplantation; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D004551:Elbow Joint / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis / Q000188:drug therapy; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008775:Methylprednisolone / Q000009:adverse effects* / Q000627:therapeutic use; D010020:Osteonecrosis / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery*; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D008775:Methylprednisolone