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Aseptic osteonecrosis of the humeral trochlea (Hegemann's disease)

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Summary

A differential diagnosis of diseases affecting the elbow joint in children should also give due consideration to osteonecroses. They are very rare in the context of the humeral trochlea, the case with which we are concerned being one of a total of 15. In the light of this syndrome's relative rarity, we will report on the case of a 7-year-old boy. This is also the first time that a MR image of Hegemann's disease has been shown.

Zusammenfassung

Bei der Differentialdiagnose von Erkrankungen des kindlichen Ellenbogengelenkes sind auch die aseptischen Knochennekrosen zu erwagen. An der Trochlea humeri sind sie sehr selten, mit dem von uns beschriebenen Fall sind es insgesamt 15. Wegen der relativen Seltenheit dieses Krankheitsbildes berichten wir kasuistisch über einen von uns beobachteten Fall bei einem 7-jährigen Jungen. Erstmals wird auch ein kernspintomographisches Bild eines Morbus Hegemann demonstriert.

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Authors and Affiliations

  1. Department of Orthopaedics, University of Erlangen-Nuremberg, Nuremberg, Germany

    W. F. Beyer, P. Heppt, K. Glückert & W. Willauschus

Authors
  1. W. F. Beyer
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  2. P. Heppt
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  3. K. Glückert
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  4. W. Willauschus
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Additional information

Dedicated to Prof. D. Hohmann, Director of the Department of Orthopaedics, University of Erlangen-Nuremberg, on the occasion of his 60th birthday

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Beyer, W.F., Heppt, P., Glückert, K. et al. Aseptic osteonecrosis of the humeral trochlea (Hegemann's disease). Arch Orthop Trauma Surg 110, 45–48 (1990). https://doi.org/10.1007/BF00431365

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