title: Arthroscopically assisted retrograde drilling of the humeral head with a guiding device.
abstract: This manuscript describes the successful treatment of a steroid-induced avascular necrosis of the humeral head using arthroscopically assisted retrograde drilling of a stage II lesion using a guiding device. At the final follow-up 19 month post-operatively, the patient presented pain-free without functional limitations although the osteonecrosis had not been fully healed.
authors.affiliation: Department of Orthopaedics, Medical Faculty, Heinrich-Heine-University, Moorenstr. 5, 40255, Düsseldorf, Germany. j-kircher@web.de.|Department of Shoulder and Elbow Surgery, Klinik Fleetinsel Hamburg, Admiralitästrasse 2-4, 20459, Hamburg, Germany. j-kircher@web.de.
authors.forename: Jörn
authors.initials: J
authors.lastname: Kircher
authors.affiliation: Department of Orthopaedics, Medical Faculty, Heinrich-Heine-University, Moorenstr. 5, 40255, Düsseldorf, Germany.
authors.forename: Thilo
authors.initials: T
authors.lastname: Patzer
authors.affiliation: Department of Orthopaedics, Medical Faculty, Heinrich-Heine-University, Moorenstr. 5, 40255, Düsseldorf, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Ziskoven
authors.affiliation: Department of Orthopaedics, Medical Faculty, Heinrich-Heine-University, Moorenstr. 5, 40255, Düsseldorf, Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Bittersohl
authors.affiliation: Department of Shoulder and Elbow Surgery, Klinik Fleetinsel Hamburg, Admiralitästrasse 2-4, 20459, Hamburg, Germany.
authors.forename: Achim
authors.initials: A
authors.lastname: Hedtmann
authors.affiliation: Department of Orthopaedics, Medical Faculty, Heinrich-Heine-University, Moorenstr. 5, 40255, Düsseldorf, Germany.
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Krauspe
mesh_terms: D000293:Adolescent; D001182:Arthroscopy / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D058430:Humeral Head / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D010020:Osteonecrosis / Q000139:chemically induced / Q000175:diagnosis / Q000601:surgery*; D011859:Radiography