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Traumatic humeral articular cartilage shear (THACS) lesion in a professional rugby player: a case report
  1. I-H Jeon,
  2. W A Wallace
  1. Nottingham Shoulder and Elbow Unit, Nottingham City Hospital, Nottingham, UK
  1. Correspondence to:
 In-Ho Jeon
 Nottingham Shoulder and Elbow Unit, Charnley Suite, Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB, UK;


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.

  • MRI, magnetic resonance imaging
  • THACS, traumatic humeral articular cartilage shear
  • articular cartilage
  • detachment
  • humeral head
  • rugby

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  • The authors have not and will not receive any financial benefit in association with the present paper.

  • Conflict of interest: none declared.

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