Rousseau B, Delpit X, Bauer T, Hardy P
Service d'orthopédie-traumatologie, hôpital Ambroise-Paré, groupement hospitalier universitaire Ouest, Boulogne-Billancourt, France.
Chir Main. 2011 Jun;30(3):231-5. doi: 10.1016/j.main.2011.04.009. Epub 2011 May 7.
Idiopathic avascular necrosis of the scaphoid, also called Preiser's disease, has been diagnosed in only 150 cases. Its clinical and radiological description is well established, but there is no consensus regarding its treatment. We report the case of a 53-year-old woman, with an advanced disease; treated arthroscopically by partial resection of the scaphoid, and insertion of an adapted pyrocarbon implant. Preliminary results at 6 months were satisfying in terms of pain. However, there was little improvement in range of motion, with a final range of 150°.
舟骨特发性缺血性坏死，也称为普赖泽病，仅确诊过150例。其临床和影像学表现已明确，但治疗方法尚无共识。我们报告一例53岁患有晚期疾病的女性病例；通过关节镜下舟骨部分切除术及植入适配的热解碳植入物进行治疗。6个月时的初步结果在疼痛方面令人满意。然而，活动范围改善不大，最终活动范围为150°。
