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British Journal of Sports Medicine 2004;38:e12; doi:10.1136/bjsm.2003.007708
Copyright © 2004 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

CASE REPORT

Traumatic humeral articular cartilage shear (THACS) lesion in a professional rugby player: a case report

I-H Jeon, W A Wallace

Nottingham Shoulder and Elbow Unit, Nottingham City Hospital, Nottingham, UK

Correspondence to:
Correspondence to:
In-Ho Jeon
Nottingham Shoulder and Elbow Unit, Charnley Suite, Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB, UK; jeonchoi{at}chol.com

ABSTRACT

A 20 year old male professional rugby player was seen at the clinic for evaluation of shoulder pain after rugby play. Magnetic resonance imaging showed extensive subchondral bone bruising of the humeral head with defect of the articular cartilage. Arthroscopy showed that the inferior half of the humeral head had extensive articular cartilage loss with nearly 70% of the inferior head having lost its cartilage. Sports medicine doctors should be aware that the shoulder joint in young competitive athletes playing contact sports may be exposed to greater risk of this kind of injury.

Abbreviations: MRI, magnetic resonance imaging; THACS, traumatic humeral articular cartilage shear

Keywords: articular cartilage; detachment; humeral head; rugby


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