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Updated: Jan 25, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Osteonecrosis of the Humeral Head Following Anterior Shoulder Dislocation in a Dialysis-Dependent Patient: A Case
Nobuei Fukui1, Ryo Tazawa, Tomonori Kenmoku
1Department of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Case:
A 75-year-old woman on long-term hemodialysis sustained anterior shoulder dislocation without a fracture. Four months later, she presented with persistent shoulder pain and limited motion. Imaging revealed humeral head osteonecrosis (Cruess stage V) and a massive rotator cuff tear. Reverse shoulder arthroplasty was performed with favorable outcome.
Conclusion:
Osteonecrosis of the humeral head following anterior shoulder dislocation without a fracture is rare. To our knowledge, this is the first reported case in a dialysis-dependent patient. This case highlights the need for increased clinical awareness regarding this complication in such patients.
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