Anthony J. Lauder and Thomas E. Trumble
Preiser's disease, or idiopathic avascular necrosis of the scaphoid, is a rare, albeit often debilitating, condition. Although unknown, the etiology is probably multifactorial, with biomechanical or anatomical variations leading to an ''at risk'' scaphoid. Most commonly the diagnosis is made with the use of plain radiographs, but one should not hesitate to use MRI for both confirming the diagnosis and evaluating the stage of the disease. Current treatment algorithms are not standardized, and many scaphoids degenerate to a point that a salvage procedure is required. The authors attempt a revascularization procedure if the disease is caught early and the scaphoid has not yet gone on to collapse and degenerate. We save our salvage procedures for advanced cases with periscaphoid arthritis.
Was this article helpful?
Thank you for deciding to learn more about the disorder, Osteoarthritis. Inside these pages, you will learn what it is, who is most at risk for developing it, what causes it, and some treatment plans to help those that do have it feel better. While there is no definitive “cure” for Osteoarthritis, there are ways in which individuals can improve their quality of life and change the discomfort level to one that can be tolerated on a daily basis.