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Avascular Necrosis of the Capitate and Dorsal Dorsi-Flexion Instability

Bristol

A vascular necrosis of the proximal part of the capitate is very rare and usually is secondary to a fracture of the waist in association with a scaphoid fracture — the naviculocapitate syndrome.

A case is presented in which partial avascular necrosis of the capitate occurred in association with bilateral dorsal dorsi-flexion instability. The authors suggest that this phenomenon represents a form of the naviculocapitate syndrome in which ligamentous laxity altered the line of failure, thus sparing the scaphoid from fracture.

The Hand, Original Series, Volume 12, No. 2, 176-178 (1980)
DOI: 10.1016/S0072-968X(80)80011-8


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