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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 75-B, Issue 5 | Pages 785 - 788
1 Sep 1993
Mont M Maar D Urquhart M Lennox D Hungerford D

Thirty shoulders, in 20 patients, which had undergone core decompression for symptomatic avascular necrosis of the humeral head were reviewed 2 to 14 years later (average 5.6). Twenty-two showed good or excellent clinical results; the other eight shoulders had required arthroplasty. All 14 shoulders with stage I or II radiological changes (Ficat and Arlet 1980) at operation had good or excellent results. We advocate early core decompression for symptomatic avascular necrosis of the humeral head.