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Preiser's disease.

M A Vidal1, R L Linscheid, P C Amadio

  • 1Servei de Cirurgia Orthopedica, Hospital Crey Roja, Barcelona, Spain.

Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery
|January 1, 1991
PubMed
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Preiser's disease, a rare condition affecting the scaphoid bone, often leads to proximal pole collapse. Conservative treatment approaches are generally favored for managing this avascular condition.

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Radiology

Background:

  • Preiser's disease is a rare condition characterized by avascular necrosis of the scaphoid bone.
  • It primarily affects the proximal pole, leading to fragmentation and collapse.

Observation:

  • This study reviewed nine patients diagnosed with unilateral Preiser's disease between 1970 and 1987.
  • Radiographic findings included sclerosis, fragmentation, erosion, and collapse of the scaphoid's proximal pole.
  • Associated conditions like radial hypoplasia or scaphoid malunion were noted in some patients.

Findings:

  • Treatment varied, including scaphoid excision with prosthetic replacement, debridement, and conservative management with cast support.
  • Most conservatively treated patients and the one treated with debridement returned to their occupations with only modest functional limitations.

Related Experiment Videos

  • Scaphoid implants showed some subluxation, with one being painful.
  • Implications:

    • Polyaxial tomography aids in assessing the extent of scaphoid involvement and carpal alignment.
    • A conservative treatment strategy appears favorable for managing Preiser's disease, preserving function and alleviating pain.
    • Early diagnosis and appropriate management are crucial for preventing severe incapacitation.