Bhardwaj Praveen, Sharma Chetna, Sabapathy S Raja
Department of Plastic Surgery, Ganga Hospital, Coimbatore, India.
Hand Surg. 2012;17(2):239-41. doi: 10.1142/S0218810412720240.
Simultaneous avascular necrosis of multiple carpal bones is rare. Concomitant avascular necrosis of scaphoid and lunate has been reported only once. We report one more case of this rare condition which can be a cause of wrist pain. Steroid intake is a known risk factor for avascular necrosis but in our case the patient had been taking herbal medicines for joint pain the composition of which was not known. Probably the presence of steroid in these medicines was the cause of avascular necrosis in this case.
多个腕骨同时发生缺血性坏死较为罕见。舟骨和月骨同时发生缺血性坏死仅有一例报道。我们报告另一例这种罕见病症，它可能是腕部疼痛的一个原因。已知类固醇摄入是缺血性坏死的一个风险因素，但在我们的病例中，患者一直在服用治疗关节疼痛的草药，其成分不明。这些药物中可能存在类固醇是该病例缺血性坏死的原因。
