Avascular necrosis of the capitate is rare. Little is known about the aetiology, disease progression or optimal management. From 1992 to 2012 we treated six patients; four had a scaphocapitolunate arthrodesis and two had a four corner arthrodesis. The average follow up was 9 years (range 1–20). Three patients had good or excellent results, two fair and one poor, based on a visual analogue scale for pain and satisfaction and a Quick-DASH score. The Mayo wrist score was satisfactory in five cases and poor in one. Better results were seen when the arthrodesis fused. In the English, French and German literature 42 other cases were found. The aetiology, patient characteristics, clinical presentation, treatment and outcome were reviewed. Type of study/level of evidence: therapeutic IV.
Arcalis ArceAPedemonte JansanaJPMassons AlbaredaJM. Idiopathic necrosis of the capitate. Acta Orthop Belg. 1996, 62: 46–8.
2.
BekeleWEscobedoEAllenR. Avascular necrosis of the capitate. J Radiol Case Rep. 2011, 5: 31–6.
3.
Bolton-MaggsBGHelalBHRevellPA. Bilateral avascular necrosis of the capitate. A case report and a review of the literature. J Bone Joint Surg Br. 1984, 66: 557–9.
4.
CooneyWPBusseyRDobynsJHLinscheidRL. Difficult wrist fractures. Perilunate fracture-dislocations of the wrist. Clin Orthop Relat Res. 1987, 214: 136–47.
5.
De SmetLWillemenDKimpeEFabryG. Nontraumatic osteonecrosis of the capitate bone associated with gout. Ann Chir Main Memb Super. 1993, 12: 210–2.
6.
DereudreGKabaAPansardEMathevonHMaresO. Avascular necrosis of the capitate: a case report and a review of the literature. Chir Main. 2010, 29: 203–6.
7.
DeSantisDP. Postsurgical rehabilitative management of avascular necrosis in the capitate. J Manipulative Physiol Ther. 2004, 27: 519–24.
8.
GadzalyD. [Therapy of capitate bone necrosis by partial alloplastic replacement]. Z Orthop Ihre Grenzgeb. 1983, 121: 328–30.
9.
GelbermanRHGrossMS. The vascularity of the wrist. Identification of arterial patterns at risk. Clin Orthop Relat Res. 1986, 202: 40–9.
10.
HattoriYDoiKSakamotoSYukataKShafiMAkhundovK. Vascularized pedicled bone graft for avascular necrosis of the capitate: case report. J Hand Surg Am. 2009, 34: 1303–7.
11.
HaygoodTMEisenbergBHaysMBGarcíaJFWilliamsonMR. Avascular necrosis of the capitate demonstrated on a 0.064 T magnet. Magn Reson Imaging. 1989, 7: 571–3.
12.
HumphreyCSIzadiKDEspositoPW. Case reports: osteonecrosis of the capitate: a pediatric case report. Clin Orthop Relat Res. 2006, 447: 256–9.
13.
IchchouLAmineBHajjaj-HassouniN. Idiopathic avascular necrosis of the capitate bone: a new case report. Clin Rheumatol. 2008, 27(Suppl 2): 47–50.
14.
ImaiSUenakaKMatsusueY. Idiopathic necrosis of the capitate treated by vascularized bone graft based on the 2, 3 intercompartmental supraretinacular artery. J Hand Surg Eur. 2014, 40: 322–3.
15.
JamesETBurkeFD. Vibration disease of the capitate. J Hand Surg Br. 1984, 9: 169–70.
16.
JönssonG. Aseptic bone necrosis of the os capitatum (os magnum). Acta Radiol Scand. 1942, 23: 562–4.
17.
KallenAMStrackeeSD. On the history and definition of Preiser’s disease. J Hand Surg Eur. 2014, 40: 770–6.
18.
KatoHOginoTMinamiA. Steroid-induced avascular necrosis of the capitate. A case report. Handchir Mikrochir Plast Chir. 1991, 23: 15–7.
19.
KimmelRBO’BrienET. Surgical treatment of avascular necrosis of the proximal pole of the capitate—Case report. J Hand Surg Am. 1982, 7: 284–6.
20.
KuttySCurtinJ. Idiopathic avascular necrosis of the capitate. J Hand Surg Br. 1995, 20: 402–4.
21.
LapinskyASMackGR. Avascular necrosis of the capitate: a case report. J Hand Surg Am. 1992, 17: 1090–2.
22.
LeonardMMullettH. Posterior interosseous neurectomy for extensive idiopathic avascular necrosis of the capitate in an adolescent. J Hand Surg Eur. 2012, 37: 582–3.
23.
LichtmanDMAlexanderAHMackGRGuntherSF. Kienböck’s disease – update on silicone replacement arthroplasty. J Hand Surg Am. 1982, 7: 343–7.
24.
LowryWEJrCordSA. Traumatic avascular necrosis of the capitate bone-case report. J Hand Surg Am. 1981, 6: 245–8.
25.
MansbergRLewisGKirshG. Avascular necrosis and fracture of the capitate bone: unusual scintigraphic features. Clin Nucl Med. 2000, 25: 372–3.
26.
MatsubaTYagiAMuraseS. Aspetic necrosis of the capitate – case report. Orthop Surg (Jpn). 1968, 17: 1194–5.
27.
MilliezPYKinh KhaHAllieuYThomineJM. [Idiopathic aseptic osteonecrosis of the capitate bone. Literature review apropos of 3 new cases]. Int Orthop. 1991, 15: 85–94.
28.
MurakamiSNakajimaH. Aseptic necrosis of the capitate bone in two gymnasts. Am J Sports Med. 1984, 12: 170–3.
29.
MurakamiHNishidaJEharaSFurumachiKShimamuraT. Revascularization of avascular necrosis of the capitate bone. AJR Am J Roentgenol. 2002, 179: 664–6.
30.
NewmanJHWattI. Avascular necrosis of the capitate and dorsal dorsi-flexion instability. Hand. 1980, 12: 176–8.
31.
NiestenJAVerhaarJA. Idiopathic avascular necrosis of the capitate – a case report and a review of the literature. Hand Surg. 2002, 7: 159–61.
32.
OgawaKMachidaNIshiguroTTakenchiH. Aseptic necrosis of the capitate – case report. Orthop Surg (Jpn). 1978, 29: 1619–22.
33.
OhtsujiYTakahashiNKondoMOnoT. A case of aseptic necrosis of the capitatum. Hokkaido J Orth Traum Surg (Jpn). 1977, 22: 153–5.
34.
PreiserG. Eine typische posttraumatische und zur spontanfraktur führende ostitis des naviculare carpi. Fortschritte Gebieten Roentgenstrahlen. 1910, 15: 189–97.
35.
PrommersbergerKJvan SchoonhovenJLanzU. [Aseptic necrosis of the capitate: a rare cause for wrist pain. Case report and review of the literature]. Handchir Mikrochir Plast Chir. 2000, 32: 123–8.
36.
RahmeH. Idiopathic avascular necrosis of the capitate bone – case report. Hand. 1983, 15: 274–5.
37.
RodholmAKPhemisterDB. Cyst-like lesions of carpal bones, associated with ununited fractures, aseptic necrosis, and traumatic arthritis. J Bone Joint Surg Am. 1948, 30A: 151–8.
38.
ThompsonNSDavisRMawhinneyIN. Spontaneous osteonecrosis of the capitate – a case report. Acta Orthop Scand. 1998, 69: 325–6.
39.
TokerSOzerK. Avascular necrosis of the capitate. Orthopedics. 2010, 33: 850.
40.
Vander GrendRDellPCGlowczewskieFLeslieBRubyLK. Intraosseous blood supply of the capitate and its correlation with aseptic necrosis. J Hand Surg Am. 1984, 9: 677–83.
41.
WalkerLG. Avascular necrosis of the capitate. J Hand Surg Am. 1993, 18: 1129.
42.
WhitingJRotmanMB. Scaphocapitolunate arthrodesis for idiopathic avascular necrosis of the capitate: a case report. J Hand Surg Am. 2002, 27: 692–6.
43.
WounlundJLohmannM. Aseptic necrosis of the capitate secondary to Gaucher’s disease: a case report. J Hand Surg Br. 1989, 14: 336–7.
44.
YeBJKimJILeeHJJungKY. A case of avascular necrosis of the capitate bone in a pallet car driver. J Occup Health. 2009, 51: 451–3.
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