A 46-year-old male was referred to our clinic for persistent ulnar-sided wrist pain
9 weeks after sustaining a traumatic injury while playing volleyball. The patient
unsuccessfully underwent nonoperative management for a suspected injury to the triangular
fibrocartilage complex. After magnetic resonance imaging revealed a lesion of the
distal ulna, he was treated with diagnostic wrist arthroscopy and Bowers hemiresection.
The diagnosis of osteonecrosis was confirmed through histology. While traumatic osteonecrosis
of the carpal bones has been described, no previous literature was found on traumatic
osteonecrosis of the distal ulna. Treatment with diagnostic wrist arthroscopy and
Bowers hemiresection resulted in an excellent outcome at 12 months after surgery.
Key words
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References
- Traumatic avascular necrosis of the capitate bone–case report.J Hand Surg Am. 1981; 6: 245-248
- Atraumatic osteonecrosis of the distal radius and ulna: case series and review.J Hand Surg Am. 2012; 37: 134-141
- Vascular anatomy of the ulna.J Hand Surg Am. 1998; 23: 800-804
- Distal radioulnar joint arthroplasty: the hemiresection-interposition technique.J Hand Surg Am. 1985; 10: 169-178
Article info
Publication history
Published online: July 12, 2021
Accepted:
May 20,
2021
Received:
June 9,
2020
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2022 by the American Society for Surgery of the Hand. All rights reserved.
