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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- 2. Poignard A, Flouzat-lachaniette CH, Amzallag J et-al. The natural progression of symptomatic humeral head osteonecrosis in adults with sickle cell disease. J Bone Joint Surg Am. 2012;94 (2): 156-62. doi:10.2106/JBJS.J.00919 - Pubmed citation
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- 4. Mont MA, Payman RK, Laporte DM et-al. Atraumatic osteonecrosis of the humeral head. J. Rheumatol. 2000;27 (7): 1766-73. - Pubmed citation
- 5. Pappas JN. The musculoskeletal crescent sign. Radiology. 2000;217 (1): 213-4. Radiology (full text) - Pubmed citation