Bilateral Osteonecrosis of the Capitate: A Case Report

Gus Strauss, Nicholas W. Brady, George Ray, Zachary D. Fulton, Ryan Rose

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Case:We report a case of bilateral capitate osteonecrosis in a patient who has a history of acute lymphocytic leukemia treated with systemic steroids and other chemotherapeutic agents. After exhausting conservative treatment, the patient underwent surgical management with a right-sided 4-corner arthrodesis and left-sided vascular pedicle graft, providing pain relief and improved function.Conclusion:In patients with a history of hematologic malignancy, clinicians should consider osteonecrosis of the capitate as a cause of wrist pain. Salvage procedures and vascularized grafts can provide pain relief in the presence of both early and late capitate osteonecrosis or collapse.

Original languageEnglish (US)
JournalJBJS Case Connector
Issue number4
StatePublished - Oct 20 2021


  • AVN
  • avascular necrosis
  • bilateral
  • capitate
  • female

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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