Postsurgical Rehabilitative Management of Avascular Necrosis in the Capitate

DeSantis, David P.

doi:10.1016/j.jmpt.2004.08.006

Cited by 8 publications

(3 citation statements)

References 11 publications

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“…In addition, the review revealed several papers on the role of chiropractic management in postoperative rehabilitation and failed spinal surgery cases. 37,63,67,70,71 All published cases had favorable outcomes for chiropractic management and raises the possibility of a role for chiropractic management in post surgical rehabilitation. Chiropractic is not normally considered in surgical cases, but the findings of this review suggest that chiropractic may have a limited role in such cases.…”

Section: Discussionmentioning

confidence: 98%

Chiropractic Treatment of Upper Extremity Conditions: A Systematic Review

McHardy

Hoskins

Pollard

et al. 2008

Journal of Manipulative and Physiological Therapeutics

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Section: Discussionmentioning

confidence: 98%

Chiropractic Treatment of Upper Extremity Conditions: A Systematic Review

McHardy

Hoskins

Pollard

et al. 2008

Journal of Manipulative and Physiological Therapeutics

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“…A case treated with silicone trapezium prosthesis showed wear at 11 year follow-up without complaints (Milliez et al, 1991). Capitate arthroplasty and capitate pyrocarbon resurfacing have also been reported (Dereudre et al, 2010;DeSantis, 2004). The mainstay of treatment for capitate-AVN is carpal arthrodesis, applied in 22 of 48 cases.…”

Section: Literature Reviewmentioning

confidence: 99%

Avascular necrosis of the capitate: report of six cases and review of the literature

Peters

Degreef

Smet

2014

J Hand Surg Eur Vol

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Avascular necrosis of the capitate is rare. Little is known about the aetiology, disease progression or optimal management. From 1992 to 2012 we treated six patients; four had a scaphocapitolunate arthrodesis and two had a four corner arthrodesis. The average follow up was 9 years (range 1-20). Three patients had good or excellent results, two fair and one poor, based on a visual analogue scale for pain and satisfaction and a Quick-DASH score. The Mayo wrist score was satisfactory in five cases and poor in one. Better results were seen when the arthrodesis fused. In the English, French and German literature 42 other cases were found. The aetiology, patient characteristics, clinical presentation, treatment and outcome were reviewed.

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“…DeSantis et al described about a case of capitate arthroplasty in patients of AVNC. 9 The report was about the physiotherapy used in preoperative and postoperative period of AVNC. The type of implant was not mentioned, and the radiographs were not included in the report as it was not the primary goal of writing the report.…”

Section: Journal Of Wrist Surgerymentioning

confidence: 99%

Mid-Carpal Joint Sparing Procedure for Idiopathic Avascular Necrosis of Capitate

Ansari

Janardhanan

2020

J Wrist Surg

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Background Avascular necrosis of the capitate (AVNC) is an uncommon pathology of the wrist. Several procedures have been described for the treatment of AVNC. The type of treatment varies depending upon the stages. In early stages, revascularization procedures are performed. If secondary osteoarthritis develops, then the treatment options include intercarpal fusion, four corner fusion, prosthesis replacement of the capitate, tendon interposition, and wrist arthrodesis. No long-term study is available for choosing an appropriate method of the treatment for AVNC. Case Description Herein, we report a case of AVNC that was managed by hemi-resection of the capitate with capito-hamate fusion and tendon interposition. One year after surgery, patient was asymptomatic and radiographs revealed fusion of capito-hamate joint and maintenance of the mid-carpal joint space. There was no evidence of carpal collapse. Literature Review All the literature about mid-carpal joint sparing (MCJS) procedures has been reviewed in this report. This is a goal behind writing of this case report as there have been very few publications about these procedures. Clinical Relevance This case illustrates the successful treatment of AVNC by MCJS procedure. The intercarpal fusion and the four corner fusion are one time procedures, and these can be used if the MCJS procedure fails or sometimes, as primary procedure, if the patient gives consent for the same. It appears prudent to save arthrodesis procedures for the future.

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Postsurgical Rehabilitative Management of Avascular Necrosis in the Capitate

Cited by 8 publications

References 11 publications

Chiropractic Treatment of Upper Extremity Conditions: A Systematic Review

Chiropractic Treatment of Upper Extremity Conditions: A Systematic Review

Avascular necrosis of the capitate: report of six cases and review of the literature

Mid-Carpal Joint Sparing Procedure for Idiopathic Avascular Necrosis of Capitate

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