THE SHOULDER IN SICKLE-CELL DISEASE

被引:31
作者
DAVID, HG [1 ]
BRIDGMAN, SA [1 ]
DAVIES, SC [1 ]
HINE, AL [1 ]
EMERY, RJH [1 ]
机构
[1] CENT MIDDLESEX HOSP,NHS TRUST,LONDON NW10 7NS,ENGLAND
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1993年 / 75卷 / 04期
关键词
D O I
10.1302/0301-620X.75B4.8331106
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Sickle-cell disease (SCD) is probably the commonest cause of avascular necrosis worldwide, and its prevalence appears to be rising in developed countries. Avascular necrosis of the humeral head is a common complication but has not been previously studied in detail. We have reviewed 138 patients with SCD for clinical, radiological and functional abnormalities of the shoulder, using a radiological classification designed for avascular necrosis of the shoulder. Radiographic lesions, frequently bilateral, were found in 28% and only 53% of patients had normal shoulder function. The management of this relatively common complication is difficult. Joint replacement is likely to fail and early diagnosis is important.
引用
收藏
页码:538 / 545
页数:8
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