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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
1   Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
2   Department of Plastic, Reconstructive and Hand Surgery, OLVG, Amsterdam, The Netherlands
,
Clinton Youri Snel
2   Department of Plastic, Reconstructive and Hand Surgery, OLVG, Amsterdam, The Netherlands
,
Oren Lapid
1   Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
,
Jesse Van Lieshout
2   Department of Plastic, Reconstructive and Hand Surgery, OLVG, Amsterdam, The Netherlands
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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


Publication History

Article published online:
25 February 2019

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