Avascular necrosis of the proximal humerus: a novel indication for the use of osteochondral allograft transplantation in the shoulder: Case report.

Osteochondral allograft (OCA) transplantation is an increasingly available biologic treatment option for a range of intraarticular aetiologies. To our knowledge, no prior publication has documented the use of this technology to treat a lesion of the proximal humerus secondary to avascular necrosis (AVN). We describe our experience treating a 42-year-old female executive with idiopathic AVN of the proximal humerus with a fresh osteochondral allograft. Computed tomography (CT) at 3 months post-op showed full bony incorporation and a restored native joint contour. Over the initial 7 months post-operatively, she reported continued improvements in pain and function as measured by quick Disabilities of the Arm, Shoulder, and Hand (DASH) scores. She was discharged from physical therapy after 6 months, reporting no rest pain, full active and passive range of motion, and unrestricted occupational and recreational activity.

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Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Dennis Crawford, MD, PhD reports financial support was provided by Joint Restoration Foundation, Inc. Dennis Crawford, MD, PhD reports financial support was provided by Moximed. Dennis Crawford, MD, PhD reports financial support was provided by Aesculap Biologics. Dennis Crawford, MD, PhD reports financial support was provided by CartiHeal LTD. Dennis Crawford, MD, PhD reports financial support was provided by Zimmer Biologics, Inc. Dennis Crawford, MD, PhD reports a relationship with Community Tissue Services, Inc. that includes: consulting or advisory. Dennis Crawford, MD, PhD reports a relationship with Moximed that includes: consulting or advisory. Dennis Crawford, MD, PhD reports a relationship with Joint Restoration Foundation, Inc. that includes: consulting or advisory. Dennis Crawford, MD, PhD reports a relationship with Vericel Corp that includes: consulting or advisory. Dennis Crawford, MD, PhD reports a relationship with Joint Restoration Foundation, Inc. that includes: speaking and lecture fees. Dennis Crawford, MD, PhD reports a relationship with Steelhead Surgical that includes: speaking and lecture fees. Dennis Crawford, MD, PhD reports a relationship with Arthrex, Inc that includes: speaking and lecture fees. Suzanne Tabbaa, PhD reports a relationship with JRF Ortho that includes: consulting or advisory.