Avascular Necrosis with Cystic Changes in the Triquetrum after Trauma in Combination with Heavy Smoking and Local Corticosteroid Injections

Zachri Nathan Ovadja; Clinton Youri Snel; Oren Lapid; Jesse Van Lieshout

doi:10.1055/s-0039-1681114

Journal of Hand and Microsurgery, Table of Contents

J Hand Microsurg 2020; 12(S 01): S58-S60
DOI: 10.1055/s-0039-1681114

Case Report

Avascular Necrosis with Cystic Changes in the Triquetrum after Trauma in Combination with Heavy Smoking and Local Corticosteroid Injections

Zachri Nathan Ovadja

¹Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands

²Department of Plastic, Reconstructive and Hand Surgery, OLVG, Amsterdam, The Netherlands

,

Clinton Youri Snel

²Department of Plastic, Reconstructive and Hand Surgery, OLVG, Amsterdam, The Netherlands

,

Oren Lapid

¹Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands

,

Jesse Van Lieshout

²Department of Plastic, Reconstructive and Hand Surgery, OLVG, Amsterdam, The Netherlands

› Author Affiliations

Abstract

The triquetrum is rarely affected by avascular necrosis compared with other carpal bones. We report a case of avascular necrosis of the triquetrum in a 50-year-old patient, with a history of wrist trauma, local corticosteroid injections, and heavy smoking. She presented with severe wrist pain and signs of cystic changes and avascular necrosis determined by magnetic resonance imaging. She was effectively treated with a proximal row carpectomy. We suspect that the combination of the injury in combination with local corticosteroids and smoking may have led to the necrosis.

Keywords

avascular necrosis of bone - carpal bones - osteonecrosis - triquetrum - wrist injuries

Full Text

References

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