{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T06:58:30Z","timestamp":1760079510853},"reference-count":20,"publisher":"SLACK, Inc.","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2010,11,2]]},"abstract":"<jats:p>Although a large portion of the capitate is supplied by a single nutrient vessel, avascular necrosis of the capitatum is a rare condition. Its etiology is not clear, but a number of factors are linked to its pathogenesis including: repetitive trauma, dorsal instability of the carpus, Gaucher disease, systemic lupus erythematosus, gout, and steroid use.<\/jats:p>\n          <jats:p>A 24-year-old woman presented with right wrist pain of 12 months duration. She reported no major trauma and reported that her pain had begun during the third month of her pregnancy. She had a history of hyperemesis gravidarum treated with 2 to 4 mg\/daily of prednisone during her pregnancy for 6 weeks. She had 70\u00b0 extension and 45\u00b0 flexion of her wrist. Radiographs showed a hypodense area at the capitate head and midcarpal joint arthritis. Magnetic resonance imaging demonstrated avascular necrosis of the capitate and midcarpal collapse at the lunocapitate joint. Lunocapitate fusion with a partial scaphoidectomy was performed. At final follow-up 28 months postoperatively, she had 60\u00b0 of volar flexion, and 50\u00b0 of dorsiflexion. She was pain free in the majority of her activities of daily living.<\/jats:p>\n          <jats:p>A small dose of steroid use during pregnancy, even in a short period of time, is a potential risk for avascular necrosis of the capitate and patients with a gradual onset of wrist pain during pregnancy may need to be investigated further if symptoms are not resolved with basic nonoperative measures within a reasonable time frame.<\/jats:p>","DOI":"10.3928\/01477447-20100924-31","type":"journal-article","created":{"date-parts":[[2010,11,5]],"date-time":"2010-11-05T15:11:50Z","timestamp":1288969910000},"page":"1-4","source":"Crossref","is-referenced-by-count":8,"title":["Avascular Necrosis of the Capitate"],"prefix":"10.3928","volume":"33","author":[{"given":"Serdar","family":"Toker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kagan","family":"Ozer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2004.08.006"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1142\/S021881040200090X"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(05)80104-8"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-926838"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-008-0865-5"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(80)80011-8"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197153020-00001"},{"issue":"1","key":"e_1_3_1_9_2","first-page":"15","article-title":"Steroid-induced avascular necrosis of the capitate. A case report","volume":"23","author":"Kato H","year":"1991","unstructured":"Kato H, Ogino T, Minami A. Steroid-induced avascular necrosis of the capitate. A case report. Handchir Mikrochir Plast Chir. 1991; 23(1):15\u201317.","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000203459.12759.29"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00124743-200102000-00009"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.42.5.597"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-004-0750-x"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(87)80060-1"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1297-3203(00)73464-0"},{"issue":"3","key":"e_1_3_1_16_2","first-page":"270","article-title":"Avascular necrosis of the carpal scaphoid associated with progressive systemic sclerosis","volume":"15","author":"Kawai H","year":"1983","unstructured":"Kawai H, Tsuyuguchi Y, Yonenobu K, Inoue A, Tada K. Avascular necrosis of the carpal scaphoid associated with progressive systemic sclerosis. Hand. 1983; 15(3):270\u2013273.","journal-title":"Hand"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200217"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.179.3.1790664"},{"issue":"2","key":"e_1_3_1_19_2","first-page":"85","article-title":"Idiopathic aseptic osteonecrosis of the capitate bone. Literature review apropos of 3 new cases","volume":"15","author":"Milliez PY","year":"1991","unstructured":"Milliez PY, Kinh Kha H, Allieu Y, Thomine JM. Idiopathic aseptic osteonecrosis of the capitate bone. Literature review apropos of 3 new cases. Int Orthop. 1991; 15(2):85\u201394.","journal-title":"Int Orthop"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80103-2"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.66B4.6746692"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/orthopedics\/hand-wrist\/journals\/ortho\/2010-11-33-11\/%7B21d1c117-c3c7-49c3-a772-fdc7df5ddc96%7D\/avascular-necrosis-of-the-capitate","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T00:40:02Z","timestamp":1683074402000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20100924-31"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,11,2]]},"references-count":20,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2010,11,2]]}},"alternative-id":["10.3928\/01477447-20100924-31"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20100924-31","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,11,2]]}}}