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Avascular necrosis of multiple carpal bones. A case report
1Department of Orthopaedic Surgery, UZ Pellenberg, Belgium.
Chirurgie De La Main
|June 16, 2000
Summary
This case study details a 66-year-old woman with multiple health issues who developed avascular necrosis of the wrist. Surgical treatment, a proximal row carpectomy, resulted in an excellent outcome.
Area of Science:
- Orthopedic surgery
- Bone pathology
- Rheumatology
Background:
- Avascular necrosis (AVN) of the carpus is a rare condition.
- Patient presented with hyperlipaemia, corticosteroid-induced osteoporosis, and chronic obstructive lung disease.
- AVN can lead to significant pain and functional impairment.
Observation:
- The patient, a 66-year-old female, exhibited avascular necrosis specifically affecting the proximal row of the carpus and the hamate.
- No other sites of avascular bone necrosis were identified in the patient.
- The condition caused considerable wrist pain and limited mobility.
Findings:
- A proximal row carpectomy was successfully performed to address the avascular necrosis.
- Histopathological examination confirmed bone necrosis in the affected carpal bones.
- Post-operative recovery was uneventful, with significant pain relief.
Implications:
- Proximal row carpectomy is an effective surgical option for managing carpal avascular necrosis.
- Early diagnosis and intervention are crucial for optimal patient outcomes.
- This case highlights the importance of considering carpal AVN in patients with risk factors like corticosteroid use.