PMC5771782_01
(A) Preoperative radiographic image of the left shoulder in anteroposterior view, showing segmental necrosis of the humeral head; (B) radiographic image of the same patient 14 years after surgery, showing the integrated graft.
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T7 level), scoring 35 points on the University of California at Los Angeles (UCLA) Score and 92 points on the Constant Score. The current radiographic images show graft integration (Fig. 3).
PMC5771782_02
(A) Radiographic images in anteroposterior view and coronal T1-weighted enhanced magnetic resonance imaging of the right shoulder of case 3 in the preoperative period, demonstrating the area of necrosis (see arrows); (B) radiographic images in anteroposterior and coronal T1-weighted enhanced magnetic resonance imaging of the right shoulder of the same case, demonstrating total graft integration after 15 years follow-up.
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Magnetic resonance imaging and radiographic images indicate complete graft integration, with no signs of osteoarthrosis (Fig. 4).
PMC5771782_03
(A) Radiographic image of the left shoulder in anteroposterior view, showing graft resorption and subchondral collapse, with protrusion of one of the screws, six months after articular reconstruction surgery of the humeral head; (B) coronal computed tomography image (bone window) of the same shoulder, demonstrating the articular protrusion of the screw in greater detail.
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The patient presented pain recurrence six months after the reconstruction of the humeral head, with signs of graft resorption and subchondral joint collapse (Fig. 5).