Kienbock, Preiser-Preiser Disease

Preiser Disease

Pdf Summary

Preiser Disease, also known as avascular necrosis (AVN) of the scaphoid bone, is a rare condition characterized by the death of bone tissue due to a disruption in blood supply to the scaphoid. Patients with Preiser Disease typically experience wrist pain, tenderness in the scaphoid area, and reduced wrist motion. This disease is often associated with trauma, steroid use, chemotherapy, connective tissue disorders, and alcohol intake. Preiser Disease is more commonly found in the dominant wrist and in females, with an average age of 42 years. The exact cause of Preiser Disease is unknown, and it is challenging to study due to the lack of a consistent definition. While there is no consensus on the optimal diagnosis and management of Preiser Disease, various treatment options have been proposed. In early-stage disease, treatments such as immobilization, cortisone injections, or vascularized bone grafts have been suggested. Late-stage disease may be treated with procedures such as arthroscopic debridement, scaphoid replacement, proximal row carpectomy, scaphoid excision, or total wrist arthrodesis. However, there have been few advances in understanding Preiser Disease in the past decade, and the natural history of the disease remains unclear. A specific and uniform definition for Preiser Disease is essential for further investigation. Future research should focus on the natural history and treatment outcomes of this rare condition.

Keywords

Preiser Disease

avascular necrosis

scaphoid bone

wrist pain

tenderness

reduced wrist motion

trauma

steroid use

chemotherapy

connective tissue disorders