We present what we think is the first documented occurrence of osteonecrosis of the capitate in a skeletally immature patient. Atraumatic osteonecrosis of the capitate is rare, and all reported cases have occurred in adults. Our pediatric patient was treated with observation and limited immobilization. He achieved a full recovery clinically and radiographically after 1 year. A review of the literature pertaining to osteonecrosis of the capitate also is provided.
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http://dx.doi.org/10.1097/01.blo.0000203459.12759.29 | DOI Listing |
J Hand Surg Am
January 2025
Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan. Electronic address:
Partial capitate shortening osteotomy represents a feasible surgical approach to reduce load distribution to the lunate in Kienböck disease, with preservation of the scaphoid-capitate articular surface. A surgical procedure, presented here, entails arthroscopic partial resection of the proximal capitate articular surface to alleviate pressure on the lunate.
View Article and Find Full Text PDFJ Am Acad Orthop Surg Glob Res Rev
August 2024
From the Department of Plastic Surgery, University of California, Irvine, Irvine, CA (Dr. Leis and Dr. Tiourin); the Department of Orthopedic Surgery, Keck School of Medicine of USC, Los Angeles, CA (Dr. Stevanovic); and the Division of Orthopedic Surgery, Hennepin Healthcare, Hopkins, MI (Dr. Geissler).
Background: Capitate osteonecrosis is a rare condition that mainly presents in young patients with chronic wrist pain. Treatment aims to address pain, arthritic changes, or carpal instability.
Methods: We present the surgical technique and outcomes of using a vascularized pedicled second metacarpal base transferred on the second dorsal metacarpal artery to treat capitate osteonecrosis in a 20-year-old female secretary, former gymnast, and a 25-year-old female student with acute lymphoblastic leukemia.
Arch Orthop Trauma Surg
August 2024
Orthopedic Department, Faculty of Medicine, AL-Azhar University, Assiut City, Assiut, 71524, Egypt.
Purpose: The study evaluated the efficacy of SC arthrodesis with lunate preservation for treating patients diagnosed with stage IIIB or IIIC Kienböck's disease, who also exhibit neutral ulnar variance. The study further aimed to explore potential variations in outcomes between patients diagnosed with stage IIIB and IIIC Kienböck's disease.
Methods: Thirty-two patients diagnosed with stage IIIB (n = 19) and stage IIIC (n = 13) Kienböck's disease underwent SC arthrodesis with distal radius bone grafting stabilised by Herbert compression screws.
Clin Orthop Surg
June 2024
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Background: Altering wrist biomechanics, Kienbock's disease leads to progressive carpal collapse that results in early arthritis and degenerative changes. By shifting the loading axis toward the radioscaphoid joint, scaphocapitate arthrodesis (SCA) has been reported as a salvage procedure effective in treating symptomatic patients with advanced Kienbock's disease. In this study, we aimed to evaluate the clinical and radiological outcomes of arthroscopic SCA in symptomatic patients with advanced stages of Kienbock's disease.
View Article and Find Full Text PDFJ Hand Surg Eur Vol
November 2024
Department of Orthopedics, The 940th Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Gansu, China.
We present a patient with Kienböck's disease treated with a novel technique of capitate distraction lengthening using two wires in the proximal capitate and two in the ulna.
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