{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:52Z","timestamp":1787755492904,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a case of bilateral capitate osteonecrosis in a patient who has a history of acute lymphocytic leukemia treated with systemic steroids and other chemotherapeutic agents. After exhausting conservative treatment, the patient underwent surgical management with a right-sided 4-corner arthrodesis and left-sided vascular pedicle graft, providing pain relief and improved function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In patients with a history of hematologic malignancy, clinicians should consider osteonecrosis of the capitate as a cause of wrist pain. Salvage procedures and vascularized grafts can provide pain relief in the presence of both early and late capitate osteonecrosis or collapse.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00350","type":"journal-article","created":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T16:01:19Z","timestamp":1646841679000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral Osteonecrosis of the Capitate"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7924-6534","authenticated-orcid":false,"given":"Gus","family":"Strauss","sequence":"first","affiliation":[{"name":"UT Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3354-340X","authenticated-orcid":false,"given":"Nicholas W.","family":"Brady","sequence":"additional","affiliation":[{"name":"UT Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5942-5607","authenticated-orcid":false,"given":"George","family":"Ray","sequence":"additional","affiliation":[{"name":"UT Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary D.","family":"Fulton","sequence":"additional","affiliation":[{"name":"UT Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1895-8888","authenticated-orcid":false,"given":"Ryan","family":"Rose","sequence":"additional","affiliation":[{"name":"UT Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"5","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1177\/1753193414524876","article-title":"Avascular necrosis of the capitate: report of six cases and review of the literature","volume":"40","author":"Peters","year":"2015","journal-title":"J Hand Surg Eur Vol."},{"issue":"B4","key":"bib2-20240805","first-page":"557","article-title":"Bilateral avascular necrosis of the capitate. A case report and a review of the literature","volume":"66","author":"Bolton-Maggs","year":"1984","journal-title":"J Hand Surg Eur Vol."},{"issue":"2","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.jhsa.2016.12.002","article-title":"The vascular anatomy of the capitate: new discoveries using micro-computed tomography imaging","volume":"42","author":"Kadar","year":"2017","journal-title":"J Hand Surg Am."},{"issue":"2","key":"bib4-20240805","first-page":"85","article-title":"Idiopathic aseptic osteonecrosis of the capitate bone. Literature review apropos of 3 new cases [in French]","volume":"15","author":"Milliez","year":"1991","journal-title":"Int Orthop."},{"issue":"1","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1142\/S021881040200090X","article-title":"Idiopathic avascular necrosis of the capitate\u2014a case report and a review of the literature","volume":"7","author":"Niesten","year":"2002","journal-title":"Hand Surg."},{"issue":"11","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"850","DOI":"10.3928\/01477447-20100924-31","article-title":"Avascular necrosis of the capitate","volume":"33","author":"Toker","year":"2010","journal-title":"Orthopedics."},{"issue":"5","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/j.thromres.2015.02.023","article-title":"Prediction of thrombotic and hemorrhagic events during polycythemia vera or essential thrombocythemia based on leukocyte burden","volume":"135","author":"Lim","year":"2015","journal-title":"Thromb Res."},{"issue":"13","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1161\/CIRCULATIONAHA.115.018347","article-title":"Vascular toxicities of cancer therapies: the old and the new\u2014an evolving avenue","volume":"133","author":"Herrmann","year":"2016","journal-title":"Circulation."},{"issue":"7","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1016\/j.jhsa.2009.04.012","article-title":"Vascularized pedicled bone graft for avascular necrosis of the capitate: case report","volume":"34","author":"Yasunori","year":"2009","journal-title":"J Hand Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00350","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:35Z","timestamp":1787751815000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00350"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00350","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}