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Preiser's disease.

C Sokolow1, L Bourcheix1

  • 1Institut Français de Chirurgie de la Main, Clinique Victor Hugo, 5 bis Rue du Dôme, 75116 Paris, France.

Hand Surgery & Rehabilitation
|July 8, 2022
PubMed
Summary
This summary is machine-generated.

Preiser

Keywords:
Avascular scaphoid necrosisIdiopathic scaphoid necrosisIschemic scaphoid necrosisMaladie de PreiserNécrose aseptique du scaphoïdeNécrose avasculaire du scaphoïdeNécrose ischémique du scaphoïdeOstéochondrite disséquante du scaphoïdePreiser’s diseaseScaphoid dissecans osteochondritis

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Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Musculoskeletal research

Background:

  • Preiser's disease, or aseptic necrosis of the scaphoid, is a rare condition with undefined etiology and treatment.
  • Current treatment strategies, surgical and non-surgical, are not well-established.
  • Disease progression is classified using Hebert's radiographic stages and Kalainov's MRI-based types.

Purpose of the Study:

  • To propose a decision-making algorithm for managing Preiser's disease.
  • To guide therapeutic management from conservative to surgical interventions.
  • To correlate treatment choices with disease stage and necrosis extent.

Main Methods:

  • Literature review of existing treatments for aseptic necrosis of the scaphoid.
  • Analysis of clinical experience with Preiser's disease.
  • Development of a treatment algorithm based on disease classification.

Main Results:

  • A proposed algorithm stratifies treatment based on radiographic and MRI findings.
  • Early-stage treatment favors vascularized grafts.
  • Advanced stages may require scaphoidectomy, prosthetic replacement, proximal row carpectomy, or carpal arthrodesis.

Conclusions:

  • The proposed algorithm aids in selecting appropriate treatments for Preiser's disease.
  • Treatment selection is contingent upon the specific stage and extent of scaphoid necrosis.
  • Indications for surgical intervention in this rare condition require careful consideration.