About: Preiser disease

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Preiser disease, or (idiopathic) avascular necrosis of the scaphoid, is a rare condition where ischemia and necrosis of the scaphoid bone occurs without previous fracture. It is thought to be caused by repetitive microtrauma or side effects of drugs (e.g., steroids or chemotherapy) in conjunction with existing defective vascular supply to the proximal pole of the scaphoid. MRI coupled with CT and X-ray are the methods of choice for diagnosis.

Attributes	Values
rdf:type	Thing Disease yago:WikicatSkeletalDisorders yago:Abstraction100002137 yago:Attribute100024264 yago:Condition113920835 yago:Disorder114052403 yago:PhysicalCondition114034177 disease yago:State100024720
rdfs:label	Preiser disease (en)
rdfs:comment	Preiser disease, or (idiopathic) avascular necrosis of the scaphoid, is a rare condition where ischemia and necrosis of the scaphoid bone occurs without previous fracture. It is thought to be caused by repetitive microtrauma or side effects of drugs (e.g., steroids or chemotherapy) in conjunction with existing defective vascular supply to the proximal pole of the scaphoid. MRI coupled with CT and X-ray are the methods of choice for diagnosis. (en)
foaf:depiction
dcterms:subject	Skeletal disorders
Wikipage page ID	10661082 (xsd:integer)
Wikipage revision ID	1095984331 (xsd:integer)
Link from a Wikipage to another Wikipage	Four corner fusion Skeletal disorders Avascular necrosis Scaphoid Idiopathic
Link from a Wikipage to an external page	http://hand-clinic.com/pathologies.htm http://www.nwhealth.edu/conted/distlear/Avn/avnhand.html https://web.archive.org/web/20100923192349/http:/eorif.com/WristHand/Preisers.html
sameAs	Preiser disease Preiser disease Preiser disease Preiser disease
dbp:wikiPageUsesTemplate	dbt:Cite_journal dbt:Cn dbt:Infobox_medical_condition_(new)
thumbnail	wiki-commons:Special:FilePath/Scaphoid_bone_(left_hand)_01_palmar_view.png?width=300
caption	Scaphoid bone (en)
has abstract	Preiser disease, or (idiopathic) avascular necrosis of the scaphoid, is a rare condition where ischemia and necrosis of the scaphoid bone occurs without previous fracture. It is thought to be caused by repetitive microtrauma or side effects of drugs (e.g., steroids or chemotherapy) in conjunction with existing defective vascular supply to the proximal pole of the scaphoid. MRI coupled with CT and X-ray are the methods of choice for diagnosis. Preiser's disease is initially treated by immobilising the wrist with a cast. However, in most cases the avascular scaphoid will start to collapse leading to degeneration within the wrist joints. This often requires surgical intervention to prevent the progression of arthris. Two commonly performed procedures are:1. Proximal row carpectomy (PRC), which involves removing the first row of the carpal bones, i.e. the scaphoid, lunate and triquetrum. The wrist is immobilised in a cast for six weeks after the surgery and then physiotherapy is started.2. Scaphoid excision and 4-corner fusion, which is a procedure consisting of the removal of the scaphoid and fixation of the remaining wrist bones with a plate (called a "spider plate") or wires in order to provide stability. The plate usually is left inside the patient's wrist, while the wires (usually K-wires) have to be removed in a second surgery. This procedure of partial wrist fusion allows for limited wrist movement, whereas total wrist fusion immobilizes the wrist permanently. Following surgery it can take several months for affected patients to regain strength.Unfortunately both of these operations are salvage procedures and movements in the wrist will be significantly reduced. (en)
gold:hypernym	Condition
prov:wasDerivedFrom	wikipedia-en:Preiser_disease?oldid=1095984331&ns=0
page length (characters) of wiki page	3243 (xsd:nonNegativeInteger)
foaf:isPrimaryTopicOf	wikipedia-en:Preiser_disease
is Link from a Wikipage to another Wikipage of	Scaphoid bone Index of trauma and orthopaedics articles List of orthopaedic eponyms Osteochondrosis Four corner fusion Preiser Avascular necrosis Avascular necrosis of the scaphoid Idiopathic avascular necrosis of the scaphoid Preiser's disease
is Wikipage redirect of	Avascular necrosis of the scaphoid Idiopathic avascular necrosis of the scaphoid Preiser's disease
is Wikipage disambiguates of	Preiser
is foaf:primaryTopic of	wikipedia-en:Preiser_disease

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