Case ReportNo Access

Osteonecrosis of Trapezium Occurring in Patient with History of Recurrent Carpometacarpal Corticosteroid Injection

Irene PIEN

Massachusetts General Hospital, Boston, MA, USA

Search for more papers by this author

and

Chaitanya S. MUDGAL

Massachusetts General Hospital, Boston, MA, USA

E-mail Address: cmudgal@partners.org

Correspondence to: Chaitanya S. Mudgal, 55 Fruit Street Yawkey 3, Boston, MA 02114, USA. Tel: +1-617-726-4700.

Search for more papers by this author

https://doi.org/10.1142/S2424835523720050Cited by:1 (Source: Crossref)

Abstract

Osteonecrosis affecting the carpal bones is rare and is mostly seen in the lunate (Kienböck’s disease). Osteonecrosis of the scaphoid (Preiser disease) is even rarer. There are only four individual case reports published on patients presenting with trapezium necrosis, none with previous history of corticosteroid injection. This case report is the first presentation of isolated trapezial necrosis in the setting of prior corticosteroid injection for thumb basilar arthritis.

Level of Evidence: Level V (Therapeutic)

Keywords:

REFERENCES

1. Weinstein RS.Glucocorticoid-induced osteonecrosis. Endocrine. April 2012;41(2):183–190. https://doi.org/10.1007/s12020-011-9580-0. Crossref, Google Scholar
2. Wang GJ, Cui QJ, Balian G. The pathogenesis and prevention of steroid induced osteonecrosis. Clin Orthop Relat Res. 2000;370:295–310. https://doi.org/10.1097/00003086-200001000-00030. Crossref, Google Scholar
3. Wang L, Zhang L, Pan H, Peng S, Zhao X, Lu WW. Abnormal subchondral bone microstructure following steroid administration is involved in the early pathogenesis of steroid-induced osteonecrosis. Osteoporosis Int. 2016;27:153–159. https://doi.org/10.1007/s00198-015-3225-8. Crossref, Google Scholar
4. Afshar A, Tabrizi A. Avascular necrosis of the carpal bones other than Kienböck disease. J Hand Surg Am. 2020;45(2):148–152. https://doi.org/10.1016/j.jhsa.2019.05.022. Crossref, Google Scholar
5. Garcia-Lopez A, Cardoso Z, Ortega L. Avascular necrosis of trapezium bone: A case report. J Hand Surg Am. 2002;27:704–706. https://doi.org/10.1053/jhsu.2002.34011. Crossref, Google Scholar
6. Zafra M, Carpintero P, Cansino D. Osteonecrosis of the trapezium treated with a vascularized distal radius bone graft. J Hand Surg Am. 2004;29(6):1098–1101. https://doi.org/10.1016/j.jhsa.2004.06.009. Crossref, Google Scholar
7. Amsallem L, Serane J, Zbili D, Marion B, Boyer P. Idiopathic bilateral lunate and triquetrum avascular necrosis: A case report. Hand Surg Rehabil. 2016;35(5):367–370. https://doi.org/10.1016/j.hansur.2016.06.004. Crossref, Google Scholar
8. Petsatodis E, Ditsios K, Konstantinou P, et al.. A case report of trapezium avascular necrosis treated conservatively. Case Rep Orthop. 2017;2017(2):1–4. https://doi.org/10.1155/2017/6936013. Crossref, Google Scholar
9. Gelberman RH, Gross MS. The vascularity of the wrist. Identification of arterial patterns at risk. Clin Orthop Relat Res. January 1986;202:40–49. Google Scholar
10. Goubau JF, Benis S, Van Hoonacker P, Berghs B, Kerckhove D, Patonay L. Vascularization of the trapeziometacarpal joint and its clinical importance: Anatomical study. Chir Main. 2012:31(2):57–61. https://doi.org/10.1016/j.main.2012.02.001. Crossref, Google Scholar