Paredes Efrain I, Baquerizo Ines E, Reina Valeria D, Menoscal Melina G
Faculty of Health Sciences, Universidad Catolica Santiago de Guayaquil, Guayaquil, ECU.
Department of Medicine, Hospital Teodoro Maldonado Carbo, Guayaquil, ECU.
Cureus. 2024 Sep 23;16(9):e70052. doi: 10.7759/cureus.70052. eCollection 2024 Sep.
Avascular necrosis (AVN) of the capitate bone is an infrequent condition, mostly secondary to trauma, that causes persistent pain and immobility of the wrist. The following case report presents a 23-year-old male college student with AVN of the capitate bone type 2, according to the Milliez classification. As a treatment, the patient received an intra-articular injection of methylprednisolone and a wrist stabilizer, resulting in a gradual improvement through conservative treatment and not necessitating surgical intervention. This case underscores the effectiveness of conservative management for early-stage AVN and supports considering non-surgical approaches as a primary strategy in some patients, especially if surgery cannot be done or is not preferred by the patient.
头状骨缺血性坏死(AVN)是一种罕见的病症,主要继发于创伤,可导致手腕持续疼痛和活动受限。以下病例报告介绍了一名23岁的男性大学生,根据米列兹分类,其患有2型头状骨缺血性坏死。作为治疗方法,该患者接受了关节内注射甲基泼尼松龙和手腕固定器,通过保守治疗病情逐渐好转,无需手术干预。该病例强调了保守治疗对早期AVN的有效性,并支持在某些患者中将非手术方法作为主要策略,特别是如果无法进行手术或患者不倾向于手术时。