{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T10:05:04Z","timestamp":1766052304680,"version":"3.48.0"},"reference-count":19,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPHS"],"abstract":"<jats:p>Introduction: Preiser\u2019s disease refers to a rare idiopathic avascular necrosis of the scaphoid that often leads to pole collapse and poor clinical outcomes when managed conservatively. Vascularized bone grafting (VBG) using the 1,2 intercompartmental supraretinacular artery (ICSRA) flap has been used to restore perfusion, but its treatment efficacy across different disease stages remains unclear.\nMethods: We retrospectively reviewed eight women (mean age 60.6 years) who were treated using 1,2 ICSRA VBG between 2006 and 2022. Disease stage was determined using the Herbert radiographic classification (one stage 1, four stage 2, and three stage 3 cases). Clinical parameters [grip strength, range of motion, Disabilities of the Arm, Shoulder, and Hand (DASH) scores, Mayo Wrist Scores] and radiographic progression were assessed after a mean follow-up of 3.6 years. Contralateral scaphoid morphology was evaluated to explore any potential anatomical predisposition.\nResults: On average, there were improvements in grip strength (9.5 to 16.6 kg), dorsal flexion (49\u00b0 to 65\u00b0), DASH score (49.5 to 10.6), and Mayo score in all cases. Radiographically, the stage 1 case did not exhibit any progression, one stage 2 case progressed, and all stage 3 cases progressed despite symptomatic improvement. Three patients exhibited type 2 scaphoid morphology, but no correlation with outcomes was observed.\nConclusion: VBG using the 1,2 ICSRA flap results in favorable clinical\/radiographic outcomes in early Preiser\u2019s disease (stages 1\u20132), effectively preserving function and stability. In stage 3 disease, VBG may provide symptomatic relief but does not prevent progression. This warrants careful patient selection and consideration of alternative reconstructive options.<\/jats:p>","DOI":"10.2340\/jphs.v60.45011","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T10:00:18Z","timestamp":1766052018000},"page":"226-230","source":"Crossref","is-referenced-by-count":0,"title":["Vascularized bone grafting using the 1,2 intercompartmental supraretinacular artery for the treatment of Preiser\u2019s disease"],"prefix":"10.2340","volume":"60","author":[{"given":"Yoshinori","family":"Takemura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narihito","family":"Kodama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosei","family":"Ando","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takafumi","family":"Yayama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Imai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1183","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"136425","doi-asserted-by":"crossref","unstructured":"Zaidemberg C, Siebert JW, Angrigiani C. A new vascularized bone graft for scaphoid nonunion. J Hand Surg Am. 1991; 16(3): 474\u20138. https:\/\/doi.org\/10.1016\/0363-5023(91)90017-6","DOI":"10.1016\/0363-5023(91)90017-6"},{"key":"136426","doi-asserted-by":"crossref","unstructured":"Herbert TJ, Lanzetta M. Idiopathic avascular necrosis of the scaphoid. J Hand Surg Br. 1994; 19(2): 174\u2013182. https:\/\/doi.org\/10.1016\/0266-7681(94)90159-7","DOI":"10.1016\/0266-7681(94)90159-7"},{"key":"136427","doi-asserted-by":"crossref","unstructured":"Morsy M, Sabbagh MD, van Alphen NA, Laungani AT, Kadar A, Moran SL. The vascular anatomy of the scaphoid: new discoveries using micro-computed tomography imaging. J Hand Surg Am. 2019; 44(11): 928\u2013938. https:\/\/doi.org\/10.1016\/j.jhsa.2019.08.001","DOI":"10.1016\/j.jhsa.2019.08.001"},{"key":"136428","doi-asserted-by":"crossref","unstructured":"Kallen AM, Strackee SD. On the history and definition of Preiser\u2019s disease. J Hand Surg Eur Vol. 2014; 39(7): 770\u2013776. https:\/\/doi.org\/10.1177\/1753193413501099","DOI":"10.1177\/1753193413501099"},{"key":"136429","doi-asserted-by":"crossref","unstructured":"Gelberman RH, Menon J. The vascularity of the scaphoid bone. J Hand Surg Am. 1980; 5(5): 508\u2013513. https:\/\/doi.org\/10.1016\/S0363-5023(80)80087-6","DOI":"10.1016\/S0363-5023(80)80087-6"},{"key":"136430","doi-asserted-by":"crossref","unstructured":"Bellringer SF, MacLean SBM, Bain GI. Preiser\u2019s disease-current concepts of etiology and management. Hand Clin. 2022; 38(4): 469\u201377. https:\/\/doi.org\/10.1016\/j.hcl.2022.03.013","DOI":"10.1016\/j.hcl.2022.03.013"},{"key":"136431","doi-asserted-by":"crossref","unstructured":"Kalainov DM, Cohen MS, Hendrix RW, Sweet S, Culp RW, Osterman AL. Preiser\u2019s disease: identification of two patterns. J Hand Surg Am. 2003; 28(5): 767\u201378. https:\/\/doi.org\/10.1016\/S0363-5023(03)00260-0","DOI":"10.1016\/S0363-5023(03)00260-0"},{"key":"136432","doi-asserted-by":"crossref","unstructured":"Schmitt R, Frohner S, van Schoonhoven J, Lanz U, Golles A. Idiopathic osteonecrosis of the scaphoid (Preiser\u2019s disease) \u2013 MRI gives new insights into etiology and pathology. Eur J Radiol. 2011; 77(2): 228\u201334. https:\/\/doi.org\/10.1016\/j.ejrad.2010.11.009","DOI":"10.1016\/j.ejrad.2010.11.009"},{"key":"136433","doi-asserted-by":"crossref","unstructured":"Buttermann GR, Putnam MD, Shine JD. Wrist position affects loading of the dorsal scaphoid: possible effect on extrinsic scaphoid blood flow. J Hand Surg Br. 2001; 26(1): 34\u201340. https:\/\/doi.org\/10.1054\/jhsb.2000.0475","DOI":"10.1054\/jhsb.2000.0475"},{"key":"136434","doi-asserted-by":"crossref","unstructured":"Amundsen A, Oh C, Huang TCT, Cantwell S, Hsu CC, Moran SL. Avascular necrosis of the scaphoid-Preiser disease: outcomes of 39 surgical cases. J Hand Surg Am. 2023; 48(3): 313 e1\u2013e9. https:\/\/doi.org\/10.1016\/j.jhsa.2021.10.023","DOI":"10.1016\/j.jhsa.2021.10.023"},{"key":"136435","doi-asserted-by":"crossref","unstructured":"Heinzelmann AD, Archer G, Bindra RR. Anthropometry of the human scaphoid. J Hand Surg Am. 2007; 32(7): 1005\u20138. https:\/\/doi.org\/10.1016\/j.jhsa.2007.05.030","DOI":"10.1016\/j.jhsa.2007.05.030"},{"key":"136436","doi-asserted-by":"crossref","unstructured":"Lenoir H, Coulet B, Lazerges C, Mares O, Croutzet P, Chammas M. Idiopathic avascular necrosis of the scaphoid: 10 new cases and a review of the literature. Indications for Preiser\u2019s disease. Orthop Traumatol Surg Res. 2012; 98(4): 390\u2013397. https:\/\/doi.org\/10.1016\/j.otsr.2011.11.013","DOI":"10.1016\/j.otsr.2011.11.013"},{"key":"136437","doi-asserted-by":"crossref","unstructured":"Tomori Y, Nanno M, Takai S. Clinical outcomes of nonsurgical treatment for Preiser disease. Medicine (Baltimore). 2020; 99(4): e18883. https:\/\/doi.org\/10.1097\/MD.0000000000018883","DOI":"10.1097\/MD.0000000000018883"},{"key":"136438","doi-asserted-by":"crossref","unstructured":"Tomori Y, Sawaizumi T, Nanno M, Takai S. Closing radial wedge osteotomy for Preiser disease: clinical outcomes. J Hand Surg Am. 2019; 44(10): 896 e1\u2013896 e10. https:\/\/doi.org\/10.1016\/j.jhsa.2018.11.007","DOI":"10.1016\/j.jhsa.2018.11.007"},{"key":"136439","doi-asserted-by":"crossref","unstructured":"Kazemi M, Daliri M, Moradi A. A systematic review on the management of idiopathic avascular necrosis of the scaphoid (Preiser\u2019s disease). Orthop Traumatol Surg Res. 2023; 109(3): 103480. https:\/\/doi.org\/10.1016\/j.otsr.2022.103480","DOI":"10.1016\/j.otsr.2022.103480"},{"key":"136440","doi-asserted-by":"crossref","unstructured":"Sheetz KK, Bishop AT, Berger RA. The arterial blood supply of the distal radius and ulna and its potential use in vascularized pedicled bone grafts. J Hand Surg Am. 1995; 20(6): 902\u2013914. https:\/\/doi.org\/10.1016\/S0363-5023(05)80136-4","DOI":"10.1016\/S0363-5023(05)80136-4"},{"key":"136441","doi-asserted-by":"crossref","unstructured":"Kara T, Gunal I. Preiser\u2019s disease treated by pronotor quadratus pedicled bone graft. J Plast Surg Hand Surg. 2014; 48(6): 455\u2013456. https:\/\/doi.org\/10.3109\/2000656X.2014.971803","DOI":"10.3109\/2000656X.2014.971803"},{"key":"136442","doi-asserted-by":"crossref","unstructured":"Moran SL, Cooney WP, Shin AY. The use of vascularized grafts from the distal radius for the treatment of Preiser\u2019s disease. J Hand Surg Am. 2006; 31(5): 705\u2013710. https:\/\/doi.org\/10.1016\/j.jhsa.2006.02.002","DOI":"10.1016\/j.jhsa.2006.02.002"},{"key":"136443","doi-asserted-by":"crossref","unstructured":"da Gama SA, de Rezende MR, Ribak S. Treatment of Preiser disease with vascularized bone graft from the distal radius: a report of two cases. Hand (N Y). 2015; 10(3): 454\u201360. https:\/\/doi.org\/10.1007\/s11552-014-9733-8","DOI":"10.1007\/s11552-014-9733-8"}],"container-title":["Journal of Plastic Surgery and Hand Surgery"],"original-title":[],"link":[{"URL":"https:\/\/medicaljournalssweden.se\/JPHS\/article\/download\/45011\/52339","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicaljournalssweden.se\/JPHS\/article\/download\/45011\/52339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T10:00:25Z","timestamp":1766052025000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicaljournalssweden.se\/JPHS\/article\/view\/45011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,18]]},"references-count":19,"URL":"https:\/\/doi.org\/10.2340\/jphs.v60.45011","relation":{},"ISSN":["2000-6764"],"issn-type":[{"value":"2000-6764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,18]]}}}