ReviewJournal of anatomy2021
The humeral head: A review of the blood supply and possible link to osteonecrosis following rotator cuff repair.
Review in Journal of anatomy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 29 citations in OpenAlex.
- Rapidly Progressive Osteonecrosis of the Humeral Head Following Arthroscopic Superior Capsule Reconstruction: A Case Report.Clinical case reports · 2026Article
- Shoulder complications in sickle cell disease: Challenges, management strategies, and future directions.World journal of orthopedics · 2025Review
- Humeral head and distal tibia osteochondral allograft for bipolar bone loss in the setting of anterior shoulder instability from seizure disorder.JSES international · 2025Article
- Humeral head avascular necrosis: etiology, diagnosis, and management.Clinics in shoulder and elbow · 2025Article
- Multifunctional hydrogel promotes rotator cuff healing through anti-inflammation and vascularization.Materials today. Bio · 2025Article
- Intramedullary Nails vs. Locking Plates for Displaced Proximal Humerus Fractures in Patients over 60: A Comparative Clinical Study.Journal of clinical medicine · 2025Article
- The role of sagittal axis in biceps tenodesis for superior capsular reconstruction in massive irreparable rotator cuff tears.BMC musculoskeletal disorders · 2025Article
- Application and analysis of the arthroscopic remnant-preserving technique to rotator cuff tear: a retrospective study.Frontiers in surgery · 2025Article
- Osteonecrosis of the Humeral Head Following Arthroscopic Repair of Rotator Cuff Tears: A Case Report.Journal of orthopaedic case reports · 2023Article
- Comparison between osteonecrosis of the humeral and femoral heads - epidemiological analysis of the surgical trend using the nationwide claims database of the republic of Korea.BMC musculoskeletal disorders · 2023Article
- Unusual Vascular Distribution in the Third Segment of the Axillary Artery.Medicina (Kaunas, Lithuania) · 2023Article
- Focal avascular necrosis of the humeral head after arthroscopic suprapectoral biceps tenodesis.JSES reviews, reports, and techniques · 2023Article
- [Effectiveness analysis of proximal humerus internal locking system plate combined with rotator cuff reinforcement suture in treatment of Neer type Ⅳ proximal humerus fracture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Rapidly destructive osteonecrosis of the humeral head after arthroscopic rotator cuff repair: a case report.BMC musculoskeletal disorders · 2022Article
- Pegs not superior to screws for fixation of fractures of the proximal humerus.Journal of orthopaedic surgery and research · 2022Article
- The humeral head: A review of the blood supply and possible link to osteonecrosis following rotator cuff repair.Journal of anatomy · 2021Review
Corrections and comments
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Authors and funding
2 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Trauma, corticosteroid therapy and metabolic diseases are well established aetiologies of humeral head osteonecrosis; however, there is increasing evidence that arthroscopic rotator cuff surgery may be another possible cause. One of the reasons is that there may be inadvertent damage to the arterial blood supply to the humeral head during surgical intervention. The blood supply to the humeral head displays large amounts of variation with regard to origin, course and distribution. Therefore, to shed light on the pathogenesis, the blood supply of the humeral head is reviewed together with a summary of all reported cases of osteonecrosis of the humeral head that occurred following rotator cuff repair. Inconsistencies with regard to terminologies used and contradictions concerning arterial contributions from the anterior circumflex humeral artery and the posterior circumflex humeral artery towards humeral head supply are addressed. Moreover, variations in the course of the anterior circumflex humeral artery and its branches are summarized. The vascular anatomy of the humeral head is clinically relevant due to the close relationship of these blood vessels with the surgical repair sites for rotator cuff surgery and biceps tenotomies or tenodesis procedures. Potential sites of disruption of blood supply following arthroscopic rotator cuff surgery are discussed. Detailed knowledge of the course of the arteries supplying the humeral head may help to minimize the risk of vascular injury and subsequent osteonecrosis. Given the great interindividual variations of vascular anatomy, imaging procedures preceding arthroscopic rotator cuff surgery may be advisable.
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