[Primary osteochondritis of the carpal scaphoid]

One case of bilateral osteochondritis dissecans of the carpal scaphoid is reported. The patient was a 15 year old student without any significant history of injury. Pain and loss of mobility of the right wrist were the presenting symptoms. X-rays showed an area of osteochondritis dissecans in the proximal pole on the right scaphoid. Surgical removal of the sequestrum was performed via a dorsal approach. The cartilage was removed for excision of sequestrum and further fixed by a "mini" screw AO 0 1.5 mm. Three years later the patient described no pain; X-rays showed a reconstitution of the scaphoid.