Traumatic avascular necrosis of the capitate bone???Case report

Lowry, Wallace E.; Chong, J. Kenneth; Cord, S.

doi:10.1097/00006534-198211000-00071

Cited by 2 publications

(3 citation statements)

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“…Although a radiographically confirmed isolated fracture of the capitate was reported in the literature as early as 1908 (Harrigan, 1908), this injury has been reported only sporadically since then. We are aware of only 51 previously reported cases (Adler and Shaftan, 1962;Apple et al, 1986;Lowrey and Cord, 1981;Young, 1986). In perhaps the most complete review of the problem, Adler and Shaftan (1962) reported six cases of isolated fracture of the capitate and reviewed 42 other cases.…”

Section: Discussionmentioning

confidence: 97%

Isolated Fractures of the Capitate: Use of Nuclear Medicine as an Aid to Diagnosis

Hopkins

Ammann²

1990

Int J Sports Med

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Fractures of the capitate are considered to be uncommon injuries of the wrist, however, delay in diagnosis may result in prolonged disability and avascular necrosis. Two cases are reported in which an isolated fracture of the capitate was diagnosed with a 99mTc-MDP nuclear medicine bone scan and confirmed with CT scan or repeated conventional x-rays. These two cases illustrate that an isolated fracture of the capitate should be considered in an individual presenting with persistent wrist pain of traumatic origin, even when conventional x-ray views are negative. The nuclear medicine bone scan can be a useful investigative tool and serve to guide further radiological investigations.

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Section: Discussionmentioning

confidence: 97%

Isolated Fractures of the Capitate: Use of Nuclear Medicine as an Aid to Diagnosis

Hopkins

Ammann²

1990

Int J Sports Med

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“…Several procedures have been described. [1][2][3][4][5][6][7]13 Partial wrist arthrodeses are logical solutions and include lunocapitate, scaphocapitate, and four-bone fusion, which can include the carpometacarpal fusion if the necrosis involves the entire capitate. Despite their reliability, an arthrodesis must be considered a palliative solution, as it limits the wrist range of motion.…”

Section: Discussionmentioning

confidence: 99%

“…A partial wrist arthrodesis remain the most commonly used strategy of the authors to treat lunocapitate arthritis. 2,5,6 Bone resection with interposition has been proposed to preserve mobility. Interposition of a silicone implant has been reported by Bolton-Maggs et al with good short-term result.…”

Section: Discussionmentioning

confidence: 99%

Pyrocarbon Interposition after Capitate Head Resection

Ferrand

Bellemère

2013

Jnl Wrist Surg

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Background Isolated lunocapitate disease is a rare situation. It includes both capitolunate arthritis and osteonecrosis of the capitate head. The management of this pathology is not defined yet. Case Description We treated three patients by resection of the capitate head and interposition of a so-called capitolunate Pi(2) implant (Tornier, BioProfile, Grenoble, France). We reported encouraging results at average follow-up of 4.8 years. Literature Review Several procedures have been reported in this indication. All suffer from lack of follow-up. Four-corner fusion seems to be the most reliable solution at the expense of wrist stiffness. Clinical Relevance case series.

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Traumatic avascular necrosis of the capitate bone???Case report

Cited by 2 publications

References 0 publications

Isolated Fractures of the Capitate: Use of Nuclear Medicine as an Aid to Diagnosis

Isolated Fractures of the Capitate: Use of Nuclear Medicine as an Aid to Diagnosis

Pyrocarbon Interposition after Capitate Head Resection

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