Current concepts review: carpal injuries - fractures, ligaments, dislocations.

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Abstract

[Indexed for MEDLINE] 12. Arch Bone Jt Surg. 2020 Jan;8(1):94-98. doi: 10.22038/abjs.2019.39187.2047. Avascular Necrosis of the Scaphoid Preiser Disease. Claessen FMAP(1), Schol I(1), Kolovich GP(1), Ring D(2). Author information: (1)Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. (2)The University of Texas at Austin, Austin, TX, USA. No consensus regarding optimal treatment or etiology of Preiser disease exists. We described the epidemiology, classification and treatment characteristics of 18 patients with Preiser disease. Patients with changes related to previous trauma, and without radiographs were excluded. Based on the radiographs at diagnosis, we classified 13 scaphoids as Herbert Lanzetta stage II, four as stage III, and one as stage IV. In 12 patients nonspecific treatment was offered and only two patients received surgical treatment. We found that chosen treatment is not associated with the severity of Herbert Lanzetta stage and the outcome is not influenced by chosen treatment. DOI: 10.22038/abjs.2019.39187.2047 PMCID: PMC7007709