Arthroscopic Management of a Glenohumeral Osteochondral Defect Using Particulated Juvenile Cartilage Allograft: A Case Report. Issue 2 (April 2015)

• Record Type: Journal Article
• Authors: Ramirez, Miguel A.; Ramirez, Jose M.; Murthi, Anand M.
• Is Part Of: JBJS case connector. Volume 5:Issue 2(2015)
• Publication Date: 2015-04
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.N.00189
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A sixteen-year-old high school varsity quarterback was referred to us for evaluation of right shoulder pain two months after an injury sustained during a football tackle. The patient reported being substantially limited in his ability to perform vigorous activity because of pain and the sensation that his shoulder was about to dislocate. Evaluation showed a Bankart tear and a focal full-thickness glenoid osteochondral defect. The tear was treated with Bankart repair, and the osteochondral defect was filled arthroscopically with particulated juvenile cartilage graft. The patient returned to full sports activity without restriction at nine months after surgery and, at two years of follow-up, remained pain free with full range of motion and strength and no symptoms of instability. Conclusion: The current case suggests that particulated juvenile cartilage may be effective in the treatment of osteochondral lesions of the glenoid.