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The Journal of Bone & Joint Surgery British Volume
Vol. 90-B, Issue 4 | Pages 512 - 514
1 Apr 2008
Nicoletti S Salama A Stanley D

We present a case of idiopathic osteonecrosis of the humeral capitellum in a 44-year-old female in the absence of any associated risk factors. Arthroscopy was undertaken to remove the loose bodies and debride the capitellum, with a satisfactory outcome.


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 4 | Pages 443 - 448
1 Apr 2006
Daniel J Ziaee H Salama A Pradhan C McMinn DJW

The recent resurgence in the use of metal-on-metal bearings has led to fresh concerns over metal wear and elevated systemic levels of metal ions.

In order to establish if bearing diameter influences the release of metal ions, we compared the whole blood levels of cobalt and chromium (at one year) and the urinary cobalt and chromium output (at one to three and four to six years) following either a 50 mm or 54 mm Birmingham hip resurfacing or a 28 mm Metasul total hip replacement. The whole blood concentrations and daily output of cobalt and chromium in these time periods for both bearings were in the same range and without significant difference.