Article

Nécrose avasculaire du scaphoïde
Résumé anglais : Preiser's disease, or avascular necrosis of the scaphoid occurs without fracture or non-union. Between 1998 and 2009, the authors report on 5 patients who
complained of mild pain on the radial aspect of the wrist, associated with
stiffness and/or loss of strength. Our management consisted in different options:
one bilateral intraarticular injection of hyaluronic acid, three vascularised
radial bone graft and one resection of the first carpal row. With four and a half
years follow-up, our results are quite satisfactory for improvement of pain, sometimes with residual postoperative stiffness. Management remains difficult
because Preiser's disease is rare and there are no relevant prospective control
studies. We attempt to provide an algorithm for early management of the disease
and to answer the question: "until when can we save the scaphoid and how ?"
CI - Copyright (c) 2012. Published by Elsevier SAS.

Langue : FRANCAIS