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Glanzmann MC et al. - Common causes of shoulder pain in younger patients are glenohumeral instability, instability of the long biceps anchor or rotator cuff lesions. In the present case of an amateur throwing athlete a bifocal, glenohumeral osteochondral lesion produced progressive shoulder pain. Multiple arthroliths found during arthroscopy may be signs of a traumatic origin. The osteochondral defects were addressed by a two-stage intervention including microfracture of the glenoid and matrix-associated autologous chondrocyte transplantation of the humeral head.

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