PDF(Pubmed)
Abstract：
UNASSIGNED: Dysbaric osteonecrosis (DON) is a specific type of atraumatic osteonecrosis that has been shown to occur mainly in deep-sea divers and workers exposed to increased air pressure environments. The pathophysiology is not entirely understood but is thought to be due to subclinical decompression sickness resulting in arterial gas emboli. This leads to vascular occlusion and subsequent bone death.
UNASSIGNED: An active 56-year-old male diver presented with progressive bilateral shoulder pain and dysfunction due to bilateral DON of the humeral head and associated posterosuperior rotator cuff tearing. The diagnosis was confirmed by physical examination, X-rays, and magnetic resonance imaging. Due to failure of conservative treatment, a single-stage bilateral, subscapularis-sparing, stemless shoulder hemiarthroplasty with concomitant rotator cuff repair was performed. At 24-month follow-up, the patient showed satisfactory functional outcomes in both shoulders without complication.
UNASSIGNED: This single-stage surgical treatment is an exceptional indication for a bilateral dysbaric humeral head osteonecrosis that can be considered in selected cases because may reduce the total recovery time and can be safe and effective at 24 months postoperatively.
UNASSIGNED: An active 56-year-old male diver presented with progressive bilateral shoulder pain and dysfunction due to bilateral DON of the humeral head and associated posterosuperior rotator cuff tearing. The diagnosis was confirmed by physical examination, X-rays, and magnetic resonance imaging. Due to failure of conservative treatment, a single-stage bilateral, subscapularis-sparing, stemless shoulder hemiarthroplasty with concomitant rotator cuff repair was performed. At 24-month follow-up, the patient showed satisfactory functional outcomes in both shoulders without complication.
UNASSIGNED: This single-stage surgical treatment is an exceptional indication for a bilateral dysbaric humeral head osteonecrosis that can be considered in selected cases because may reduce the total recovery time and can be safe and effective at 24 months postoperatively.
摘要：
未经证实：减压性骨坏死（DON）是一种特殊类型的无创伤性骨坏死，已被证明主要发生在深海潜水员和暴露于高压环境的工人中。病理生理学尚未完全了解，但被认为是由于亚临床减压病导致动脉气体栓塞。这导致血管闭塞和随后的骨死亡。
UNASSIGNED：一名56岁活跃的男性潜水员由于双侧肱骨头DON和相关的后上肩袖撕裂而出现进行性双侧肩痛和功能障碍。体检证实了诊断,X光片,和磁共振成像。由于保守治疗失败，单阶段双边，肩胛骨下保留,进行了无柄肩关节置换术和肩袖修复。在24个月的随访中，患者显示出满意的双肩功能结局,无并发症.
UNASSIGNED：这种单阶段手术治疗是双侧减压肱骨头骨坏死的特殊适应症，在某些情况下可以考虑，因为可以缩短总恢复时间，并且在术后24个月安全有效。
UNASSIGNED：一名56岁活跃的男性潜水员由于双侧肱骨头DON和相关的后上肩袖撕裂而出现进行性双侧肩痛和功能障碍。体检证实了诊断,X光片,和磁共振成像。由于保守治疗失败，单阶段双边，肩胛骨下保留,进行了无柄肩关节置换术和肩袖修复。在24个月的随访中，患者显示出满意的双肩功能结局,无并发症.
UNASSIGNED：这种单阶段手术治疗是双侧减压肱骨头骨坏死的特殊适应症，在某些情况下可以考虑，因为可以缩短总恢复时间，并且在术后24个月安全有效。
