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Journal of Hand Surgery (British and European Volume)
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Articles

Vibration Disease of the Capitate

E. T. R. JAMES
F. D. BURKE

From the Derbyshire Royal Infirmary

Correspondence: E. T. R. James, F.R.C.S. Orthopaedic Dept. Bristol Royal Infirmary, BS2 8HW.

There are four previous cases of isolated avascular necrosis of the capitate in the literature. This report describes a fifth, and the first to be associated with vibration.

A paint sprayer presented with wrist pain, tenderness over the capitate and radiological changes of avascular necrosis of the capitate. Following mid-carpal arthrodesis, he returned to work.

The role of trauma and a pre-existing ligamentous abnormality of the wrist in the aetiology of this condition is discussed.

Journal of Hand Surgery (British and European Volume), Vol. 9, No. 2, 169-170 (1984)
DOI: 10.1016/S0266-7681(84)80022-4
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