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Bilateral osteochondritis dissecans of the carpal scaphoid

A radiological and anatomical study of one case

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Summary

The results of an anatomical and radiological study of one unusual case of bilateral osteochondritis dissecans of the carpal scaphoid are reported.

On both sides, histological examination of the excised surgical specimen showed previous remodelling of the bone and marrow which had been followed by further aseptic necrosis. On the painful left side the sequestrum itself was fractured and appeared to be involved in a localised cystic remodelling reaction.

The observations are discussed as an example of the histological changes in aseptic bone necrosis as well as an unusual type of pathology affecting the carpal scaphoid.

Résumé

L'auteur présente les résultats d'une étude anatomique et radiologique d'un cas inhabituel d'ostéochondrite disséquante bilatérale du scaphoïde carpien.

Des deux côtés, l'examen histologique du fragment excisé montre une réorganisation préalable de l'os et de la moelle osseuse qui a été suivie d'une nécrose aseptique. Du côté gauche douloureux, le séquestre lui-même est fracturé et paraît être impliqué dans une réaction de réorganisation localisée de type kystique.

Ces observations sont discutées en tant qu'exemple des changements histologiques lors d'une nécrose osseuse aseptique et en tant que lésion inhabituelle du scaphoïde carpien.

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References

  1. Andreesen, R.: Ermüdungserscheinungen (Nekrose und Pseudarthrose) des Kahnbeins durch chronisches Trauma (Preßluft — Werkzeugarbeiten). Fortschr. Röntgenstr. 60, 253–263 (1939)

    Google Scholar 

  2. Aptekar, R. G., Klippel, J. H., Becker, K. E., Carson, D. A., Seaman W. E., Decker, J. L.: Avascular necrosis of the talus, scaphoid, and metatarsal head in systemic lupus erythematosus. Clin. Orthop. 101, 127–128 (1974)

    Google Scholar 

  3. Baumann, F. Ilse, H.: Ein Beitrag zur Osteochondrosis dissecans des Os naviculare manus. Z. Orthop. 115, 397–401 (1977)

    Google Scholar 

  4. Bugnion, J. P.: Lésions nouvelles du poignet. Acta Radiol. [Suppl.] 90, 123 p. (1951)

  5. Davidson, J. K.: Aseptic necrosis of bone. Amsterdam: Excerpta Medica 1976

    Google Scholar 

  6. Desse, G., Minet, J.: Ostéolyse des scaphoïdes du carpe. Lésions radiocarpiennes des ouvriers boulangers. Rev. Rhum. Mal. Osteoartic. 17, 248–251 (1950)

    Google Scholar 

  7. Gemain, J., Mauvoisin, F., Bernard, J., Arnaudet, M., Vidal, R.: Pelote basque et incidences ostéo-articulaires. Rev. Rhum. Mal. Osteoartic. 27, 292–296 (1960)

    Google Scholar 

  8. Iselin, M.: Importance de l'arthrose dans le syndrome “Main Fragile” des boxeurs. Rev. Rhum. Mal. Osteoartic. 27, 242–243 (1960)

    Google Scholar 

  9. Koehler, A., Zimmer, E. A.: Grenzen des Normalen und Anfänge des Pathologischen im Röntgenbild des Skelets. 11 Aufl. Stuttgart: Georg Thieme Verlag 1967

    Google Scholar 

  10. Lagier, R.: Idiopathic aseptic necrosis of the femoral head. An anatomopathological concept. In “Idiopathic ischemic necrosis of the femoral head in adults”. Edited by W. M. Zinn. p. 49–67. Stuttgart: Georg Thieme 1971

    Google Scholar 

  11. Lampe, C. E.: Osteochondritis dissecans of the head of the femur. Acta Orthop. Scand. 26, 33–52 (1956–57)

    Google Scholar 

  12. Liechti, A., Feistmann, E.: Untersuchungen bei Preßluftarbeitern. Radiol. Clin. (Basel) 8, 321–331 (1939)

    Google Scholar 

  13. Mathies, B.: Osteochondrosis dissecans am Kahnbein der Hand. Handchirurgie 4, 165–167 (1972)

    Google Scholar 

  14. Mc Master, P. E., Levin, R. T.: Osteochondritis dissecans of carpal scaphoid. US Naval Medical Bulletin 45, 742–744 (1945)

    Google Scholar 

  15. Phemister, D. B.: Changes in bones and joints resulting from interruption of circulation. Arch. Surg. 41, 436–472 (1940)

    Google Scholar 

  16. Ravelli, A.: Osteochondritis dissecans am Kahnbein der Hand. Radiol. Clin. (Basel) 24, 97–100 (1955)

    Google Scholar 

  17. Rettig, H.: Ein Beitrag zur Aetiologie und Differentialdiagnose von Navicularnekrose, Navicularepartitum und Navicularepseudarthrose. Arch. Orthop. UnfallChir. 54, 263–278 (1962)

    Google Scholar 

  18. Rubens-Duval, A., Villiaumey, J., Lubetzki, D.: L'arthrose trapézométacarpienne micro-géodique de l'équilibriste. Rev. Rhum. Mal. Osteoartic. 27, 273–276 (1960)

    Google Scholar 

  19. Rutishauser, E., Jacqueline, Fr.: Lésions de nécrose et hernies capsulaires dans les os du poignet de l'adulte. Confrontation amatomo-radiologique. Rhumatologie 4, 179–194 (1953)

    Google Scholar 

  20. Schinz, H. R., Baensch, W. E., Friedl, E. Uehlinger, E.: Traité de radiodiagnostic. Traduction française par Buffard. Vol. 1 — lère partie. Neuchâtel, Paris: Delachaux et Niestlé 1956

    Google Scholar 

  21. Scholder, P.: Vascularisation osseuse et pseudo-kystes du poignet. Rev. Chir. Orthop. 39, (suppl. 1), 56 p. (1953)

  22. Taleisnik, J., Kelly, P. J.: The extraosseous and intraosseous blood supply of the scaphoid bone. J. Bone Joint Surg. [Am.] 48, 1125–1137 (1966)

    Google Scholar 

  23. Wengen, H. C.: Zum Kahnbeinbruch der Hand und seine unfallmedizinische Bedeutung. Aktuelle Probleme in der Chirurgie, Band 11. Bern: Hans Huber Verlag 1971

  24. Yu, W. Y., Siu, C. M., Shim, S. S., Hawthorne, H. M., Dunbar, J. S.: Mechanical properties and mineral content of avascular and revascularizing cortical bone. J. Bone Joint Surg. [Am.] 57, 692–695 (1975)

    Google Scholar 

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Authors and Affiliations

  1. Departments of Pathology (Osteoarticular Unit) and Surgery (Hand Surgery Unit), Faculty of Medicine, University of Geneva, Geneva, Switzerland

    G. Guelpa, A. Chamay & R. Lagier

Authors
  1. G. Guelpa
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  2. A. Chamay
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  3. R. Lagier
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Guelpa, G., Chamay, A. & Lagier, R. Bilateral osteochondritis dissecans of the carpal scaphoid. International Orthopaedics 4, 25–30 (1980). https://doi.org/10.1007/BF00266600

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