Avascular necrosis of the proximal carpal row of the wrist. A possible complication of bisphosphonate administration

Concomitant avascular necrosis of the lunate and proximal pole of the scaphoid in a thalassemia minor patient

“…Eventually, the patient was treated with a proximal row carpectomy. [ 3 ] Bayley and Simmons have reported a case of AVN of the proximal carpal row with a history of corticosteroid consumption, hyperlipidemia, and moderate intake of alcohol. The patient was treated with a radial-proximal carpal row arthrodesis.…”

“…AVN of multiple carpal bones has been mentioned with a history of trauma, metabolic disorder, corticosteroid consumption, rheumatoid disorders, and systemic lupus erythematosus (SLE). [ 1 2 3 4 ] This case report presents a patient with concomitant AVN of the lunate and proximal pole of the scaphoid.…”

Post Traumatic Avascular Necrosis of the Proximal Carpal Row - A Case Report

“…To date, the reports of AVN and multiple carpal bone involvement have been mainly attributed to non-traumatic aetiologies such as steroid intake, systemic lupus erythematosus (SLE), hyperlipidaemia, bisphosphonate intake and the use of traditional herbal medicines of unknown composition. [1][2][3] There have also been reports of patients with concomitant idiopathic Kienbock's and Preiser's disease. With regards to the incidence of post-traumatic carpal bone AVN, there are mainly reports with single carpal bone involvement, usually after fracture-dislocations of the wrist.…”