Avascular necrosis of scaphoid-Preiser’s syndrome

A. Kalinderis, A. Papadopoulos, N. Romalidis, F. Poutoglidou

Abstract


Preiser’s syndrome is a rare avascular necrosis affecting the carpal scaphoid. Osteoarthritic changes of the articular cartilage, local synovitis, and loose fragments are the most common findings associated with this syndrome. We report a case of patient with Preiser’s syndrome, without a traumatic history, presenting with pain, swelling and functional impairment of the wrist. Radiography wasn’t sufficient for the diagnosis, so MRI and scan were done to clearly establish type and extension of the lesion. Differential diagnosis may be sometimes difficult and the therapeutic approach mainly depends on the stage of disease. Idiopathic avascular necrosis of the scaphoid must be included in the differential diagnosis of persistent pain on the radial side of the wrist with no history of injury, although rare cases have been reported in the literature.


Keywords


Preiser`s syndrome, scaphoid, wrist

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