Related Experiment Video
Updated: Feb 28, 2026
08:27
Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
Published on: May 23, 2025
1.0K
A Case of Trapezium Avascular Necrosis Treated Conservatively
Evangelos Petsatodis1, Konstantinos Ditsios2, Panagiotis Konstantinou2
1Department of Radiology, G. Papanikolaou General Hospital, Thessaloniki, Greece.
Case Reports in Orthopedics
|June 20, 2017
Summary
Avascular necrosis (AVN) of the trapezium is rare. This case demonstrates that conservative treatment with immobilization may effectively manage early-stage trapezium AVN, offering a non-surgical option.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Radiology
Background:
- Avascular necrosis (AVN) of the wrist bones is uncommon, with the lunate, scaphoid, and capitate most frequently affected.
- Trapezium AVN is exceptionally rare, with only two prior surgical case reports.
- This study presents a unique case of trapezium AVN managed conservatively.
Observation:
- A 38-year-old male presented with a 4-month history of right thumb base pain.
- Magnetic Resonance Imaging (MRI) confirmed avascular osteonecrosis of the trapezium.
- The patient underwent a conservative treatment protocol involving six weeks of wrist immobilization.
Findings:
- The patient experienced complete symptom resolution within three months post-treatment.
- Follow-up MRI scans indicated a normalized trapezium bone structure.
- Conservative management led to a successful outcome in this rare case.
Implications:
- This case suggests that immobilization can be a viable treatment for early-stage trapezium AVN.
- It challenges the necessity of surgical intervention for all trapezium AVN cases.
- Highlights the importance of considering conservative options in rare bone necrosis presentations.
More Related Videos
Related Concept Videos
01:26Flail Chest-II
747
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
747
01:27Fractures: Bone Repair
6.0K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.0K