Avascular necrosis of carpal bones

Avascular necrosis of carpal bones

Idiopathic avascular necrosis of the lunate (Kienböck’s disease; Figure 38.57 ) or scaphoid (Preiser’s disease) can occur. The clinical presentation is of wrist pain and the diagnosis can be Robert Kienböck , 1871–1953, Professor of Radiology , Vienna, Austria, described this condition in 1910. Georg K F Preiser , 1876–1913, German orthopaedic surgeon, published the first study on the vascular supply of the scaphoid bone in 1910. the condition is that it leads to collapse of the avascular carpal bones and subsequent arthritis of the carpus, which may be best treated with a partial or complete fusion of the wrist. This will at least give a str ong and painless wrist. The limitation in movement caused by arthrodesis procedures is not as great as might be expected.

(a) Figure 38.58 (a) Clinical and (b) /uni00A0 surgical appearance of a dorsal wrist ganglion.

Avascular necrosis of carpal bones

Idiopathic avascular necrosis of the lunate (Kienböck’s disease; Figure 38.57 ) or scaphoid (Preiser’s disease) can occur. The clinical presentation is of wrist pain and the diagnosis can be Robert Kienböck , 1871–1953, Professor of Radiology , Vienna, Austria, described this condition in 1910. Georg K F Preiser , 1876–1913, German orthopaedic surgeon, published the first study on the vascular supply of the scaphoid bone in 1910. the condition is that it leads to collapse of the avascular carpal bones and subsequent arthritis of the carpus, which may be best treated with a partial or complete fusion of the wrist. This will at least give a str ong and painless wrist. The limitation in movement caused by arthrodesis procedures is not as great as might be expected.

(a) Figure 38.58 (a) Clinical and (b) /uni00A0 surgical appearance of a dorsal wrist ganglion.

Avascular necrosis of carpal bones

Idiopathic avascular necrosis of the lunate (Kienböck’s disease; Figure 38.57 ) or scaphoid (Preiser’s disease) can occur. The clinical presentation is of wrist pain and the diagnosis can be Robert Kienböck , 1871–1953, Professor of Radiology , Vienna, Austria, described this condition in 1910. Georg K F Preiser , 1876–1913, German orthopaedic surgeon, published the first study on the vascular supply of the scaphoid bone in 1910. the condition is that it leads to collapse of the avascular carpal bones and subsequent arthritis of the carpus, which may be best treated with a partial or complete fusion of the wrist. This will at least give a str ong and painless wrist. The limitation in movement caused by arthrodesis procedures is not as great as might be expected.

(a) Figure 38.58 (a) Clinical and (b) /uni00A0 surgical appearance of a dorsal wrist ganglion.