整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
有頭骨無腐性壊死の1例
原田 昭三浦 哲夫山本 進萩山 吉孝阪田 泰二瀬分 厚若狭 雅彦荒井 隆志真鍋 英喜
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1985 年 33 巻 4 号 p. 1085-1088

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Aseptic necrosis of the capitate bone is considered to be comparatively rare. A recent case is presented. The patient was a 21-year-old male costruction worker. His chief complaint was swelling and pain in the left wrist. Physical examination revealed limitation of range of motion in the left wrist, with swelling and tenderness of the central dorsal hand. Roentgenograms revealed absorptive changes in the proximal portion of the left capitate bone and sclerotic changes in the distal portion. Total resection of the capitate bone and intercarpal fusion was performed. Histopathologically, bone necrosis was seen. Postoperatively, limitation of range of motion of left wrist joint persisted. However, there was no swelling or pain in the wrist. An uneventful course is predicted.

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