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Traumatic Avascular Necrosis of the Capitate Bone in a 23-Year-Old Man: A Case Report
Efrain I Paredes1,2, Ines E Baquerizo1, Valeria D Reina1,2
1Faculty of Health Sciences, Universidad Catolica Santiago de Guayaquil, Guayaquil, ECU.
Abstract:
Avascular necrosis (AVN) of the capitate bone is an infrequent condition, mostly secondary to trauma, that causes persistent pain and immobility of the wrist. The following case report presents a 23-year-old male college student with AVN of the capitate bone type 2, according to the Milliez classification. As a treatment, the patient received an intra-articular injection of methylprednisolone and a wrist stabilizer, resulting in a gradual improvement through conservative treatment and not necessitating surgical intervention. This case underscores the effectiveness of conservative management for early-stage AVN and supports considering non-surgical approaches as a primary strategy in some patients, especially if surgery cannot be done or is not preferred by the patient.
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