Atraumatic Scaphoid Avascular Necrosis After Repeated Steroid Injections.

IF 1.2 4区 医学 Q3 ORTHOPEDICS
Orthopedics Pub Date : 2025-05-01 Epub Date: 2025-04-17 DOI:10.3928/01477447-20250409-01
Jose L Zermeno-Salinas, Adam P Henderson, Keith T Aziz
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引用次数: 0

Abstract

Atraumatic avascular necrosis of the scaphoid is an extremely rare pathology. We present a case of avascular necrosis of the scaphoid following repeat local glucocorticoid injections. A 70-year-old, right-handed woman presented to our clinic with 2 years of atraumatic, progressively worsening left wrist pain and loss of range of motion. Imaging demonstrated fragmentation and avascular necrosis of the scaphoid. The patient underwent uncomplicated scaphoid excision, pisiform excision, and intercarpal arthrodesis, with a good functional outcome. This case highlights both the risk of repeated intra-articular steroid injections and the importance of obtaining serial radiographs when providing intra-articular steroid injections. [Orthopedics. 2025;48(3):188-191.].

反复注射类固醇后非创伤性舟状骨缺血性坏死。
舟状骨的非创伤性缺血性坏死是一种极为罕见的病理。我们提出一个病例的舟状骨缺血性坏死后,重复局部糖皮质激素注射。一位70岁的右撇子女性因2年的非创伤性左腕疼痛和活动范围丧失而就诊。影像学显示舟状骨碎裂和无血管坏死。患者接受了简单的舟状骨切除术、梨状骨切除术和腕间关节融合术,功能预后良好。本病例强调了重复关节内类固醇注射的风险以及在提供关节内类固醇注射时获得连续x线片的重要性。[矫形手术。48 2025;(3): 188 - 191。]。
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来源期刊
Orthopedics
Orthopedics 医学-整形外科
CiteScore
2.20
自引率
0.00%
发文量
160
审稿时长
3 months
期刊介绍: For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.
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