The Korean Journal of Sports Medicine  2014;32(1):59-64

doi:10.5763/kjsm.2014.32.1.59

Osteochondral Lesion of Humeral Head Associated with Shoulder Internal Impingement: Report of Three Cases.

Jun Bum KIM 1 ; Jong Suk PARK ; Chang Hwa HONG ; Sai Won KWON ; Jae Wan SOH ; Jae Hwi NHO ; Chang Ju LEE

Affiliations

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Keywords

Humeral head; Chondromalacia; Impingement syndrome; Shoulder

Country

Republic of Korea

Language

Korean

Abstract

Internal impingement syndrome is characterized by the posterior shoulder pain when the arm is abducted and external rotated, and articular partial rotator cuff tear with posterosuperior labral fraying in throwing athletes. Osteochondral lesion of humeral head as an associated lesion is reported in some cases but, not considered to be a main origin of the symptoms. We found the similar features of osteochondral lesion on humeral head in three cases of internal impingement syndrome irrespective of conservative treatment for over three months and report good results obtained from arthroscopic debridement and microfracturing for these lesions with a review of the literatures.