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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 5, 744-746.
doi: 10.1302/0301-620X.84B5.12282  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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OSTEONECROSIS OF THE HUMERAL HEAD AFTER EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY

H. B. Durst, MD, Registrar; G. Blatter, MD, Consultant Orthopaedic Surgeon; and M. S. Kuster, MD, PD, PhD, Consultant Orthopaedic Surgeon

Department of Orthopaedic Surgery, Kantonsspital St Gallen, 9007 St Gallen, Switzerland.

Correspondence should be sent to Dr M. S. Kuster.

A 59-year-old woman with calcific tendinitis in her right shoulder underwent extracorporeal shock-wave lithotripsy. Three years and four months later she presented with osteonecrosis of the head of the right humerus. It is known that shock waves in patients with urological disorders can damage blood vessels. A possible reason for the development of osteonecrosis in this patient may have been damage to the blood supply of the head of the humerus.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General