Salunkhe Rahul, Abhyankar Rushikesh, Deshmukh Ashwin, Shevate Ishan, Sravan Vellanki
Orthopaedics and Trauma, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, IND.
Cureus. 2022 Dec 26;14(12):e32955. doi: 10.7759/cureus.32955. eCollection 2022 Dec.
Avascular necrosis of the carpal scaphoid is known as Preiser disease. Avascular necrosis is usually caused by non-traumatic or idiopathic etiology. In this case report, we present the case of a 23-year-old female patient who came to our outpatient department with complaints of pain and swelling over the left wrist joint for seven months. The patient did not give any history of trauma or long-term steroid intake. Clinically, the patient had tenderness over the left anatomical snuff box. A plain radiograph of the wrist joint did not suggest any abnormality. MRI was done to confirm the diagnosis. MRI showed altered marrow signals in the scaphoid, which was suggestive of avascular necrosis of the scaphoid, also known as Preiser disease. Proximal row carpectomy was done for the patient, and wrist range of motion exercises were started after one week postoperatively. Full range of motion of the wrist joint was achieved at three weeks postoperatively without no residual deformity.
腕舟骨缺血性坏死被称为普赖泽病。缺血性坏死通常由非创伤性或特发性病因引起。在本病例报告中，我们介绍了一名23岁女性患者的病例，该患者因左腕关节疼痛和肿胀7个月前来我院门诊。患者无任何创伤史或长期服用类固醇药物史。临床上，患者左鼻烟窝处有压痛。腕关节X线平片未提示任何异常。进行了MRI检查以确诊。MRI显示舟骨骨髓信号改变，提示舟骨缺血性坏死，即普赖泽病。为患者实施了近排腕骨切除术，术后1周开始进行腕关节活动度锻炼。术后3周腕关节达到了全活动范围，且无残留畸形。
