Preiser’s disease: identification of two patterns

Kalainov, David M.; Cohen, Mark S.; Hendrix, Ronald W.; Sweet, Stephanie; Culp, Randall W.; Osterman, A. Lee

doi:10.1016/s0363-5023(03)00260-0

Cited by 66 publications

(59 citation statements)

References 47 publications

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“…Plain radiography and MRI is needed for the diagnosis of Preiser's disease according to the Kalainov et al, to define the type. 5 In the absence of trauma, any areas of low-signal intensity on T1-weighted MR images should raise the suspicion of idiopathic AVN as the carpal bones do not show the same subchondral pattern of AVN as larger bones. 6 Treatment is provided according to the stage of the disease.…”

Section: Discussionmentioning

confidence: 99%

Presier’s disease: idiopathic avascular necrosis of scaphoid in a case presenting with wrist pain in young male

Suthar

Parmar²,

Trivedi³

et al. 2017

Int J Res Med Sci

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A 25-years-old male presented with complain of pain in right wrist and difficulty in gripping objects. No history of trauma to the right wrist joint. On local examination, tenderness was present in right anatomical snuff box. Tenderness was elicited by axial compression on right first metacarpal with decreased range of the motion at the right wrist compare to the left side. Routine blood investigation was within normal limits. X-ray of the right wrist joint showed minimal sclerotic in right scaphoid. On MRI right wrist joint, low intensity signal was seen involving the whole right scaphoid bone on T1 weighted, T2 weighted and STIR images with loss of normal marrow signal intensity. So according to the Herbert and Lanzetta it was stage 4 and Kalainov et al, type 1 avascular necrosis. Diagnosis of idiopathic avascular necrosis of the right scaphoid bone was postulated based on clinical and radiological findings. Patient was treated with vascularised pedicle bone graft from the right distal radius. The patient was gradually improved clinically with subsidence of pain and improvement in the grip strength over 1 year.

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Section: Discussionmentioning

confidence: 99%

Presier’s disease: idiopathic avascular necrosis of scaphoid in a case presenting with wrist pain in young male

Suthar

Parmar²,

Trivedi³

et al. 2017

Int J Res Med Sci

View full text Add to dashboard Cite

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“…The largest series on 19 patients who were imaged with plain radiographs and MRI showed two different patterns of vascular compromise: type I and type II [60]. Type I cases are characterized by MRI signal changes of ischemia and/or necrosis involving the entire scaphoid bone, and these patients have a propensity for osteoarthritis.…”

Section: Tumorsmentioning

confidence: 99%

The role of MR imaging in scaphoid disorders

2007

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The scaphoid bone of the wrist is one of the most commonly fractured bones in the body. Due to its importance in the biomechanics and functionality of the wrist, it is important to depict and characterize the type of injury. Plain radiographs and scintigraphy may fail to disclose the type and severity of the injury. In patients with normal initial plain radiographs, MR imaging can discriminate occult fractures from bone bruises and may also demonstrate ligamentous disruption. MR imaging can also discriminate the proximal pole viability versus avascular necrosis secondary to previous fracture, which is important for treatment planning. Treatment of non-united fractures with vascularized grafts can be evaluated with contrast-enhanced MR imaging. Idiopathic osteonecrosis or Preiser's disease was originally described after trauma. The non-traumatic disorders of the scaphoid include post-traumatic osteoarthritis, inflammatory bone marrow edema in patients with rheumatoid arthritis, and osteomyelitis. MR imaging is helpful in all the above disorders to demonstrate early bone marrow edema, cartilage degeneration and associated subchondral marrow changes. The most commonly found tumors in the scaphoid are usually benign and include enchondroma, osteoblastoma and osteoid osteoma. MR imaging is not mandatory for the initial diagnosis, which should be based on plain X-ray findings.

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“…X-rays and computed tomography (CT) scans may show sclerosis and fragmentation in the scaphoid, especially in the proximal region [9,11].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Preiser Disease with Vascularized Bone Graft from the Distal Radius: A Report of Two Cases

Gama

Rezende

Ribak

2015

Hand (New York, N,Y.)

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The authors report two cases of women with Preiser disease treated with dorsal distal radius vascularized grafts. In the first case, after minor trauma, the patient had pain in the left wrist of insidious onset and evolution with significant worsening. The radiographic examination showed increased density of the proximal pole of the scaphoid, and magnetic resonance imaging (MRI) showed partial necrosis. Intraoperatively, as the integrity of the cartilage of the proximal pole of the scaphoid was observed, dorsal vascularized distal radius graft was performed using the 1,2 intercompartmental supraretinacular artery. In 4 months postoperatively, MRI showed almost total integration of the graft, and 1 year after surgery, the patient was asymptomatic, with normal mobility of the operated wrist and imaging showing a normal scaphoid. The second case had similar history and clinical picture, but the radiographs showed narrowing and diffuse sclerosis and also osteolytic areas in the proximal pole of the scaphoid; MRI showed diffuse necrosis. The same graft technique was used, considering that there was a good cartilaginous coverage of the scaphoid. After 9 years of follow-up, the patients remain free of pain or functional limitations. In such cases, the vascularized graft technique was effective and, therefore, a good therapeutic option, provided that there is no degenerative changes in the carpus and, especially, the cartilage of the proximal pole is viable.

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Preiser’s disease: identification of two patterns

Cited by 66 publications

References 47 publications

Presier’s disease: idiopathic avascular necrosis of scaphoid in a case presenting with wrist pain in young male

Presier’s disease: idiopathic avascular necrosis of scaphoid in a case presenting with wrist pain in young male

The role of MR imaging in scaphoid disorders

Treatment of Preiser Disease with Vascularized Bone Graft from the Distal Radius: A Report of Two Cases

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