Traumatic Avascular Necrosis of the Capitate Bone in a 23-Year-Old Man: A Case Report

Avascular necrosis (AVN) of the capitate bone is an infrequent condition, mostly secondary to trauma, that causes persistent pain and immobility of the wrist. The following case report presents a 23-year-old male college student with AVN of the capitate bone type 2, according to the Milliez classification. As a treatment, the patient received an intra-articular injection of methylprednisolone and a wrist stabilizer, resulting in a gradual improvement through conservative treatment and not necessitating surgical intervention. This case underscores the effectiveness of conservative management for early-stage AVN and supports considering non-surgical approaches as a primary strategy in some patients, especially if surgery cannot be done or is not preferred by the patient.

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Journal
Cureus
Published
2024-09-23
DOI
https://doi.org/10.7759/cureus.70052
Primary Topic
Bone and Joint Diseases
Type
article
Field-Weighted Citation Impact
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article

Traumatic Avascular Necrosis of the Capitate Bone in a 23-Year-Old Man: A Case Report

Ines E Baquerizo, Melina G Menoscal, Valeria D Reina, Efrain Paredes
Cureus
Bone and Joint Diseases
article

Traumatic Avascular Necrosis of the Capitate Bone in a 23-Year-Old Man: A Case Report

Ines E Baquerizo, Melina G Menoscal, Valeria D Reina, Efrain Paredes
article en

Abstract

Avascular necrosis (AVN) of the capitate bone is an infrequent condition, mostly secondary to trauma, that causes persistent pain and immobility of the wrist. The following case report presents a 23-year-old male college student with AVN of the capitate bone type 2, according to the Milliez classification. As a treatment, the patient received an intra-articular injection of methylprednisolone and a wrist stabilizer, resulting in a gradual improvement through conservative treatment and not necessitating surgical intervention. This case underscores the effectiveness of conservative management for early-stage AVN and supports considering non-surgical approaches as a primary strategy in some patients, especially if surgery cannot be done or is not preferred by the patient.

CureusVol. 16(9)
University of Guayaquil (EC), Universidad Católica de Santiago de Guayaquil (EC)
Gender equality
Openalex Percentile: Top 78%
Bone and Joint Diseases
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Traumatic Avascular Necrosis of the Capitate Bone in a 23-Year-Old Man: A Case Report — Ines E Baquerizo, Melina G Menoscal, et al. · Cureus (2024) | TGRS Research Map | TGRS