Ovadja Zachri Nathan, Snel Clinton Youri, Lapid Oren, Van Lieshout Jesse
Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Department of Plastic, Reconstructive and Hand Surgery, OLVG, Amsterdam, The Netherlands.
J Hand Microsurg. 2020 Oct;12(Suppl 1):S58-S60. doi: 10.1055/s-0039-1681114. Epub 2019 Feb 25.
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.
与其他腕骨相比，三角骨很少发生缺血性坏死。我们报告一例50岁患者的三角骨缺血性坏死病例，该患者有腕部外伤史、局部皮质类固醇注射史和重度吸烟史。她表现为严重的腕部疼痛，磁共振成像显示有囊性变和缺血性坏死迹象。她接受近端排腕骨切除术治疗后效果良好。我们怀疑损伤与局部皮质类固醇和吸烟共同作用可能导致了坏死。
