A Case of Trapezium Avascular Necrosis Treated Conservatively
Introduction. Avascular necrosis (AVN) of the bones of the wrist most commonly involves the lunate followed by the proximal pole of the scaphoid and the capitate. Trapezium avascular necrosis is extremely rare with only two cases reported in the literature, both of which were treated surgically. In...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2017/6936013 |
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| author | Evangelos Petsatodis Konstantinos Ditsios Panagiotis Konstantinou Iosafat Pinto Lazaros Kostretzis Ioannis Theodoroudis Mayia Pilavaki |
| author_facet | Evangelos Petsatodis Konstantinos Ditsios Panagiotis Konstantinou Iosafat Pinto Lazaros Kostretzis Ioannis Theodoroudis Mayia Pilavaki |
| author_sort | Evangelos Petsatodis |
| collection | DOAJ |
| description | Introduction. Avascular necrosis (AVN) of the bones of the wrist most commonly involves the lunate followed by the proximal pole of the scaphoid and the capitate. Trapezium avascular necrosis is extremely rare with only two cases reported in the literature, both of which were treated surgically. In this article, we report a unique case of trapezium avascular necrosis treated conservatively. Case Presentation. A 38-year-old man complaining of a 4-month history of mild pain on the base of his right thumb. MRI scan was performed. The clinical presentation and the imaging findings indicated avascular osteonecrosis of the trapezium. The patient was treated with immobilization of the wrist joint for a period of six weeks. Three months later, the patient was free of symptoms and the MRI scan revealed a normal trapezium. Conclusion. AVN of trapezium is extremely rare. Our case shows that immobilization of an early stage avascular necrosis of the trapezium might be a treatment option. |
| format | Article |
| id | doaj-art-f2df197417b34588aeddd6f442e42b8e |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-f2df197417b34588aeddd6f442e42b8e2025-02-03T01:30:57ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/69360136936013A Case of Trapezium Avascular Necrosis Treated ConservativelyEvangelos Petsatodis0Konstantinos Ditsios1Panagiotis Konstantinou2Iosafat Pinto3Lazaros Kostretzis4Ioannis Theodoroudis5Mayia Pilavaki6Department of Radiology, G. Papanikolaou General Hospital, Thessaloniki, Greece1st Department of Orthopaedics, G. Papanikolaou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece1st Department of Orthopaedics, G. Papanikolaou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece1st Department of Orthopaedics, G. Papanikolaou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece1st Department of Orthopaedics, G. Papanikolaou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece1st Department of Orthopaedics, G. Papanikolaou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Radiology, G. Papanikolaou General Hospital, Thessaloniki, GreeceIntroduction. Avascular necrosis (AVN) of the bones of the wrist most commonly involves the lunate followed by the proximal pole of the scaphoid and the capitate. Trapezium avascular necrosis is extremely rare with only two cases reported in the literature, both of which were treated surgically. In this article, we report a unique case of trapezium avascular necrosis treated conservatively. Case Presentation. A 38-year-old man complaining of a 4-month history of mild pain on the base of his right thumb. MRI scan was performed. The clinical presentation and the imaging findings indicated avascular osteonecrosis of the trapezium. The patient was treated with immobilization of the wrist joint for a period of six weeks. Three months later, the patient was free of symptoms and the MRI scan revealed a normal trapezium. Conclusion. AVN of trapezium is extremely rare. Our case shows that immobilization of an early stage avascular necrosis of the trapezium might be a treatment option.http://dx.doi.org/10.1155/2017/6936013 |
| spellingShingle | Evangelos Petsatodis Konstantinos Ditsios Panagiotis Konstantinou Iosafat Pinto Lazaros Kostretzis Ioannis Theodoroudis Mayia Pilavaki A Case of Trapezium Avascular Necrosis Treated Conservatively Case Reports in Orthopedics |
| title | A Case of Trapezium Avascular Necrosis Treated Conservatively |
| title_full | A Case of Trapezium Avascular Necrosis Treated Conservatively |
| title_fullStr | A Case of Trapezium Avascular Necrosis Treated Conservatively |
| title_full_unstemmed | A Case of Trapezium Avascular Necrosis Treated Conservatively |
| title_short | A Case of Trapezium Avascular Necrosis Treated Conservatively |
| title_sort | case of trapezium avascular necrosis treated conservatively |
| url | http://dx.doi.org/10.1155/2017/6936013 |
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