Menth-Chiari W A, Poehling G G
Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Baptist Medical Center, Winston-Salem, North Carolina, USA.
Arthroscopy. 2000 Mar;16(2):208-13. doi: 10.1016/s0749-8063(00)90038-0.
We report the case of a 50-year-old female patient with Preiser's disease (avascular necrosis of the scaphoid) who, after a 2-year history of wrist pain, underwent arthroscopic debridement of the necrotic scaphoid using a standard technique. Osteoarthritic changes of the articular cartilage, partial rupture of the scapholunate ligament, local synovitis, and loose fragments were documented. The patient reported significant improvement in pain relief and complete relief of mechanical symptoms at 31-month follow-up examination. Radiographs demonstrated no progression of collapse of the scaphoid or acceleration of degenerative changes in the wrist. Arthroscopy in Preiser's disease allows direct visualization and assessment of the exact pathology of the radiocarpal and midcarpal joint and the scaphoid cartilage. Arthroscopic debridement of the necrotic scaphoid increased wrist functional range of motion, provided excellent pain relief, and improved health-related quality of life.
我们报告了一例50岁患有Preiser病（舟状骨缺血性坏死）的女性患者，该患者在经历了2年的腕部疼痛病史后，采用标准技术接受了关节镜下坏死舟状骨清创术。记录显示有关节软骨的骨关节炎改变、舟月韧带部分断裂、局部滑膜炎和游离碎片。患者在31个月的随访检查中报告疼痛缓解显著，机械性症状完全缓解。X线片显示舟状骨塌陷无进展，腕部退变改变未加速。Preiser病的关节镜检查可直接观察和评估桡腕关节、腕中关节以及舟状骨软骨的确切病理情况。关节镜下坏死舟状骨清创术增加了腕关节的功能活动范围，提供了出色的疼痛缓解效果，并改善了与健康相关的生活质量。
