Idiopathic Avascular Necrosis of the Scaphoid: Case Report and Surgical Approach
Matheus Kuffner, Caio C Couto, Pedro H Pires, Pedro Agner A Fernandes, Priscilla P de Las Casas
Keywords :
Avascular necrosis, Bone necrosis, Carpal bone diseases, Case report, Scaphoid bone
Citation Information :
Kuffner M, Couto CC, Pires PH, Fernandes PA, de Las Casas PP. Idiopathic Avascular Necrosis of the Scaphoid: Case Report and Surgical Approach. J Orth Joint Surg 2025; 7 (1):124-126.
Preiser's disease, also known as idiopathic avascular necrosis of the scaphoid bone, is a rare pathological condition that occurs in the absence of fracture or pseudarthrosis. The etiology of this condition is not completely understood but is believed to be triggered by an interruption of blood flow to the scaphoid bone. We present the case of an adult patient who exhibited scaphoid bone necrosis and did not improve with conservative treatment. Therefore, surgical intervention was indicated, which demonstrated satisfactory results.
Bergman S, Petit A, Rabarin F, et al. Preiser's disease or avascular osteonecrosis of the scaphoid: An update literature review. Hand Surg Rehabil 2021;40(4):359–368. DOI: 10.1016/j.hansur.2021.03.005
Preiser G. Eine typische posttraumatische und zur spontanfraktur fuhrende ostitis des naviculare carpi. Fortschr Geb Roentgenstr 1910;15:189–197. DOI: 10.1016/S0753-9053(05)80278-9
Deng AD. Transferências vascularizadas de pequenos ossos para não-união de fraturas e defeitos ósseos. Clin Plast Surg 2020;47(4):501–520. DOI: 10.25248/reas.e10393.2022
Lenoir H, Coulet B, Lazerges C, et al. Idiopathic avascular necrosis of the scaphoid: 10 new cases and a review of the literature. Indications for Preiser's disease. Orthop Traumatol Surg Res 2012;98(4):390–397. DOI: 10.1016/j.otsr.2011.11.013
Herbert TJ, Lanzetta M. Idiopathic avascular necrosis of the scaphoid. J Hand Surg Br 1994;19(2):174–182. DOI: 10.1016/0266-7681(94)90159-7
Bellringer SF, MacLean SBM, Bain GI. Preiser's disease-current concepts of etiology and management. Hand Clin 2022;38(4):469–477. DOI: 10.1016/j.hcl.2022.03.013
Kazemi M, Daliri M, Moradi A. A systematic review on the management of idiopathic avascular necrosis of the scaphoid (Preiser's disease). Orthop Traumatol Surg Res 2023;109(3):103480. DOI: 10.1016/j.otsr.2022.103480
de Smet L. Avascular nontraumatic necrosis of the scaphoid. Preiser's disease? Chirurgie de la Main 2000;19(2):82–85. DOI: 10.1016/S1297-3203(00)73464-0
