title: Idiopathic bilateral lunate and triquetrum avascular necrosis: A case report.
abstract: We report on the case of bilateral avascular osteonecrosis (AVN) of the lunate and triquetrum in a 45-year-old woman without any relevant medical history for which the cause could not be established. She was treated conservatively with splinting and analgesics. The patient was able to pursue her work and hobbies with subnormal range of motion at 1-year follow-up. AVN of the triquetrum is very rare, as it is a richly vascularized bone. The presence of AVN in multiple carpal bones has only been described in patients receiving high doses of corticosteroids. To our knowledge, there are no other cases of idiopathic AVN of multiple carpal bones in the literature.
authors: Saint-Antoine Hospital, Department of Orthopaedic Surgery and Traumatology, 184, rue du Faubourg-Saint-Antoine, 75571 Paris cedex 12, France. Electronic address: lioramsallem@hotmail.com.
authors: L
authors: L
authors: Amsallem
authors: Saint-Antoine Hospital, Department of Orthopaedic Surgery and Traumatology, 184, rue du Faubourg-Saint-Antoine, 75571 Paris cedex 12, France. Electronic address: jseranef@hotmail.fr.
authors: J
authors: J
authors: Serane
authors: Saint-Antoine Hospital, Department of Orthopaedic Surgery and Traumatology, 184, rue du Faubourg-Saint-Antoine, 75571 Paris cedex 12, France. Electronic address: zbilidavid@gmail.com.
authors: D
authors: D
authors: Zbili
authors: Groupe hospitalier diaconesses Croix-Saint-Simon, Service de chirurgie orthopédique, 125, rue d'Avron, 75020 Paris, France. Electronic address: marion.blandine@gmail.com.
authors: B
authors: B
authors: Marion
authors: Saint-Antoine Hospital, Department of Orthopaedic Surgery and Traumatology, 184, rue du Faubourg-Saint-Antoine, 75571 Paris cedex 12, France. Electronic address: patrick.boyer2@aphp.fr.
authors: P
authors: P
authors: Boyer
mesh_terms: D018771:Arthralgia / Q000188:drug therapy / Q000209:etiology; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D012667:Lunate Bone / Q000000981:diagnostic imaging*; D008875:Middle Aged; D010020:Osteonecrosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D016059:Range of Motion, Articular; D051221:Triquetrum Bone / Q000000981:diagnostic imaging*; D014955:Wrist Joint / Q000000981:diagnostic imaging
chemical_list: D005938:Glucocorticoids
keywords: Carpal bones; Carpe; Kienböck's disease; Lunate; Lunatum; Maladie de Kienböck; Osteonecrosis; Ostéonécrose; Triquetrum