After the femoral head, the humeral head is the second most common site for
osteonecrosis and its occurrence has been associated with trauma (especially
three and four-part fractures), corticosteroid use, sickle-cell disease,
alcoholism, dysbarism (or caisson disease), Gaucher disease, or other systemic
Osteonecrosis of the humeral head is extremely uncommon in children and
generally is not associated with conditions that affect the femoral head, such
as Perthes disease. To our knowledge, osteonecrosis of the humeral head in an
adolescent as a surgical complication has not been reported in the literature.
We report a case of humeral head osteonecrosis in a child occurring after
shoulder stabilization for the treatment of recurrent shoulder dislocation.
The complication was treated nonsurgically, and the osteonecrosis resolved
within nine months, as documented by magnetic resonance imaging. Our patient
and his family were informed that data concerning the case would be submitted