We report on a 74-year-old man with extensor indicis proprius (EIP) tendon rupture secondary to avascular necrosis and collapse of the scaphoid. The collapsed scaphoid was removed, followed by 4-corner fusion and tendon transfer of the extensor digiti minimi to the EIP. At the 3-year follow-up, the patient was pain-free and had full extension of his left index finger, with proper alignment of the carpal bones and union of the 4 bones.
KarantanasADailianaZMalizosK. The role of MR imaging in scaphoid disorders. Eur Radiol2007;17:2860–71.
2.
AllenPR. Idiopathic avascular necrosis of the scaphoid. A report of two cases. J Bone Joint Surg Br1983;65:333–5.
3.
FerlicDCMorinP. Idiopathic avascular necrosis of the scaphoid: Preiser's disease?J Hand Surg Am1989;14:13–6.
4.
De SmetLAertsPWalraevensMFabryG. Avascular necrosis of the carpal scaphoid: Preiser's disease: Report of 6 cases and review of the literature. Acta Orthop Belg1993;59:139–42.
5.
MulfordJSCeulemansLJNamDAxelrodTS. Proximal row carpectomy vs. four corner fusion for scapholunate (SLAC) or scaphoid nonunion advanced collapse (SNAC) wrists: A systematic review of outcomes. J Hand Surg Eur2009;34:256–63.
