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Osteonecrosis of Wrist
Cheryl A. Petersilge, MD, MBA; B.J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Ischemic necrosis, aseptic necrosis, avascular necrosis
          • Definitions

            • Preiser disease: Scaphoid osteonecrosis (ON) without known trauma
            • Kienböck disease: ON of lunate; lunatomalacia

          IMAGING

          • General Features

            • Imaging Recommendations

              • Radiographic Findings

                • MR Findings

                  • CT Findings

                    • Nuclear Medicine Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        Selected References

                                        1. Bervian MR et al: Scaphoid fracture nonunion: correlation of radiographic imaging, proximal fragment histologic viability evaluation, and estimation of viability at surgery: diagnosis of scaphoid pseudarthrosis. Int Orthop. 39(1):67-72, 2015
                                        2. Murphey MD et al: From the radiologic pathology archives imaging of osteonecrosis: radiologic-pathologic correlation. Radiographics. 34(4):1003-28, 2014
                                        3. Derby BM et al: Vascularized bone grafts for the treatment of carpal bone pathology. Hand (N Y). 8(1):27-40, 2013
                                        4. Murthy NS: The role of magnetic resonance imaging in scaphoid fractures. J Hand Surg Am. 38(10):2047-54, 2013
                                        5. Taljanovic MS et al: Imaging and treatment of scaphoid fractures and their complications. Semin Musculoskelet Radiol. 16(2):159-73, 2012
                                        6. Schuind F et al: Kienbock's disease. J Bone Joint Surg Br. 90(2):133-9, 2008
                                        7. Zanetti M et al: Role of MR imaging in chronic wrist pain. Eur Radiol. 17(4):927-38, 2007
                                        8. Zafra M et al: Vascularised bone graft and osteotomy of the radius in Kienbock's disease. Acta Orthop Belg. 71(2):163-8, 2005
                                        9. Botte MJ et al: Vascularity and osteonecrosis of the wrist. Orthop Clin North Am. 35(3):405-21, xi, 2004
                                        10. Thienpont E et al: Radiographic analysis of anatomical risk factors for Kienbock's disease. Acta Orthop Belg. 70(5):406-9, 2004
                                        11. Murakami H et al: Revascularization of avascular necrosis of the capitate bone. AJR Am J Roentgenol. 179(3):664-6, 2002
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Ischemic necrosis, aseptic necrosis, avascular necrosis
                                                • Definitions

                                                  • Preiser disease: Scaphoid osteonecrosis (ON) without known trauma
                                                  • Kienböck disease: ON of lunate; lunatomalacia

                                                IMAGING

                                                • General Features

                                                  • Imaging Recommendations

                                                    • Radiographic Findings

                                                      • MR Findings

                                                        • CT Findings

                                                          • Nuclear Medicine Findings

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              Selected References

                                                                              1. Bervian MR et al: Scaphoid fracture nonunion: correlation of radiographic imaging, proximal fragment histologic viability evaluation, and estimation of viability at surgery: diagnosis of scaphoid pseudarthrosis. Int Orthop. 39(1):67-72, 2015
                                                                              2. Murphey MD et al: From the radiologic pathology archives imaging of osteonecrosis: radiologic-pathologic correlation. Radiographics. 34(4):1003-28, 2014
                                                                              3. Derby BM et al: Vascularized bone grafts for the treatment of carpal bone pathology. Hand (N Y). 8(1):27-40, 2013
                                                                              4. Murthy NS: The role of magnetic resonance imaging in scaphoid fractures. J Hand Surg Am. 38(10):2047-54, 2013
                                                                              5. Taljanovic MS et al: Imaging and treatment of scaphoid fractures and their complications. Semin Musculoskelet Radiol. 16(2):159-73, 2012
                                                                              6. Schuind F et al: Kienbock's disease. J Bone Joint Surg Br. 90(2):133-9, 2008
                                                                              7. Zanetti M et al: Role of MR imaging in chronic wrist pain. Eur Radiol. 17(4):927-38, 2007
                                                                              8. Zafra M et al: Vascularised bone graft and osteotomy of the radius in Kienbock's disease. Acta Orthop Belg. 71(2):163-8, 2005
                                                                              9. Botte MJ et al: Vascularity and osteonecrosis of the wrist. Orthop Clin North Am. 35(3):405-21, xi, 2004
                                                                              10. Thienpont E et al: Radiographic analysis of anatomical risk factors for Kienbock's disease. Acta Orthop Belg. 70(5):406-9, 2004
                                                                              11. Murakami H et al: Revascularization of avascular necrosis of the capitate bone. AJR Am J Roentgenol. 179(3):664-6, 2002