Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY.
JBJS Case Connect. 2024 Aug 15;14(3). doi: e24.00130. eCollection 2024 Jul 1.
A 25-year-old right-hand dominant male police officer presented to the emergency department with a gunshot wound to his left shoulder. Magnetic resonance imaging demonstrated an osteochondral defect overlying the humeral head along the mid to lower aspect of the glenohumeral joint. A staged operation with shoulder arthroscopy followed by an osteochondral allograft (OCA) of the humeral head was performed. During his 6-month postoperative visit, he had returned to full work duty with no restrictions and reported that his pain was well controlled.
Humeral head OCA transplantation may be an effective treatment option for traumatic osteochondral lesions of the glenohumeral joint.
一名 25 岁、右利手的男性警察因左肩部枪伤就诊于急诊部。磁共振成像显示肱骨头沿盂肱关节中下部存在一个覆盖的骨软骨缺损。进行了分期手术，首先进行肩关节镜检查，然后进行肱骨头骨软骨移植（OCA）。在术后 6 个月的随访中，他已恢复全部工作，无任何限制，且报告疼痛得到良好控制。
肱骨头 OCA 移植可能是治疗盂肱关节创伤性骨软骨损伤的有效治疗选择。
