Osteonecrosis of the humeral head

Osteonecrosis of the humeral head (ONHH), also known as Hass disease, is considered the second commonest location for osteonecrosis (following the hip). 

It generally develops in the subchondral region. In some patients, osteonecrosis can lead to collapse of the necrotic subchondral bone, development of an irregular joint surface, and subsequent joint degeneration. 

Which many of the general risk factors for avascular necrosis, in general, apply to humeral head osteonecrosis, the use of corticosteroid use has been recognised as a dominant causative association 4.

While many of the general radiographic features for avascular necrosis may be present with ONHH, the presence of crescent sign can be the classic diagnostic feature in the correct clinical context 5

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Article information

rID: 17807
Synonyms or Alternate Spellings:
  • Hass disease
  • Hass's disease
  • AVN of the humeral head
  • Avascular necrosis of the humeral head

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