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Osteonecrosis of the GlenoidA Case Report
Matthew J. Smith, MD1; Steven M. Kane, MD1; Ellis A. Ingram, MD1; Timothy Propeck, MD1
1 Departments of Orthopaedic Surgery (M.J.S. and S.M.K.), Pathology (E.A.I.), and Radiology (T.P.), University of Missouri, MC213, DC053.00, One Hospital Drive, Columbia, MO 65212. E-mail address for M.J. Smith: smithmj@health.missouri.edu
The Journal of Bone & Joint Surgery.  2006; 88:1836-1839  doi:10.2106/JBJS.E.00489
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Extract

Osteonecrosis has been described in multiple joints within the human musculoskeletal anatomy and is commonly found within the femoral head, femoral condyles, humeral head1,2, and some of the smaller bones of the foot and hand. Often, however, the etiology of osteonecrosis remains unknown.We are reporting what we believe to be a case of osteonecrosis of the glenoid secondary to disruption of its blood supply after placement of multiple suture anchors in its body and neck. Our search of the literature revealed only one previously reported case of osteonecrosis of the glenoid secondary to trauma3. That report describes a patient who fell from a bus onto her outstretched hand. The diagnosis of osteonecrosis was based only on a finding of subchondral lucency in the glenoid on plain radiographs; no biopsy was performed. Nonsteroidal antiinflammatory medications relieved the patient's symptoms, and she continued to be asymptomatic at the time of follow-up.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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