Preiser disease in a child before complete ossification of the scaphoid: a case report.
Peadiatric case report
Preiser disease
Scaphoid ossification
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
18 Mar 2022
18 Mar 2022
Historique:
received:
13
12
2021
accepted:
15
03
2022
entrez:
19
3
2022
pubmed:
20
3
2022
medline:
23
3
2022
Statut:
epublish
Résumé
The pathology of Preiser disease remains controversial, and treatment for Preiser disease has not yet been standardised. Preiser disease itself is rare, and although it can be found in children, its presentation is even rarer; therefore, the treatment of paediatric patients with Preiser disease is more unclear than adult cases. A 10-year-old boy who complained of left wrist pain was diagnosed with Preiser disease from osteosclerosis and segmentation on plain radiography and computed tomography, and low signal intensity on both T1- and T2-weighted images on magnetic resonance imaging. Because the patient was a child whose scaphoid was immature and pre-ossified, we chose a conservative immobilisation treatment with a thumb spica cast followed by an orthosis. After 3 months of immobilisation, the distal pole of the scaphoid showed remodelling. One year after the initial visit, plain radiography showed remodelling of the whole scaphoid, although magnetic resonance T1-weighted image showed that the recovery of intensity change was only observed in the distal pole. Two years after the initial visit, both plain radiography and magnetic resonance imaging showed a normal appearance and 5 years after the initial visit; the scaphoid bone showed normal development. This is the first case report of Preiser disease before complete ossification of the scaphoid; therefore, we cannot say anything definitive about the treatment strategy. However, our experience suggests that conservative treatment may provide a cure for Preiser disease in children with immature ossification of the scaphoid without carpal collapse.
Sections du résumé
BACKGROUND
BACKGROUND
The pathology of Preiser disease remains controversial, and treatment for Preiser disease has not yet been standardised. Preiser disease itself is rare, and although it can be found in children, its presentation is even rarer; therefore, the treatment of paediatric patients with Preiser disease is more unclear than adult cases.
CASE PRESENTATION
METHODS
A 10-year-old boy who complained of left wrist pain was diagnosed with Preiser disease from osteosclerosis and segmentation on plain radiography and computed tomography, and low signal intensity on both T1- and T2-weighted images on magnetic resonance imaging. Because the patient was a child whose scaphoid was immature and pre-ossified, we chose a conservative immobilisation treatment with a thumb spica cast followed by an orthosis. After 3 months of immobilisation, the distal pole of the scaphoid showed remodelling. One year after the initial visit, plain radiography showed remodelling of the whole scaphoid, although magnetic resonance T1-weighted image showed that the recovery of intensity change was only observed in the distal pole. Two years after the initial visit, both plain radiography and magnetic resonance imaging showed a normal appearance and 5 years after the initial visit; the scaphoid bone showed normal development.
CONCLUSIONS
CONCLUSIONS
This is the first case report of Preiser disease before complete ossification of the scaphoid; therefore, we cannot say anything definitive about the treatment strategy. However, our experience suggests that conservative treatment may provide a cure for Preiser disease in children with immature ossification of the scaphoid without carpal collapse.
Identifiants
pubmed: 35303840
doi: 10.1186/s12891-022-05226-8
pii: 10.1186/s12891-022-05226-8
pmc: PMC8933920
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
265Informations de copyright
© 2022. The Author(s).
Références
Hand (N Y). 2015 Sep;10(3):454-60
pubmed: 26330778
J Hand Surg Eur Vol. 2012 Feb;37(2):180-2
pubmed: 22095401
Eur Radiol. 2007 Nov;17(11):2860-71
pubmed: 17351778
J Hand Surg Am. 2006 Sep;31(7):1154-6
pubmed: 16945719
Chir Main. 2000 May;19(2):82-5
pubmed: 10904825
Orthop Traumatol Surg Res. 2012 Jun;98(4):390-7
pubmed: 22608001
J Bone Joint Surg Am. 2005 May;87(5):1038-46
pubmed: 15866967
Scand J Plast Reconstr Surg Hand Surg. 1995 Dec;29(4):359-60
pubmed: 8771265
J Hand Surg Am. 2003 Sep;28(5):767-78
pubmed: 14507506
Pol J Radiol. 2020 Aug 26;85:e461-e488
pubmed: 32999697
J Hand Surg Br. 2001 Aug;26(4):384-8
pubmed: 11469846
Hand Surg Rehabil. 2021 Sep;40(4):359-368
pubmed: 33775889
J Hand Surg Am. 2006 May-Jun;31(5):705-10
pubmed: 16713829
J Orthop Sci. 2006 May;11(3):248-53
pubmed: 16721524
Clin Nucl Med. 2001 Sep;26(9):782-3
pubmed: 11507299
Arthroscopy. 2000 Mar;16(2):208-13
pubmed: 10705335
J Hand Surg Br. 1994 Apr;19(2):174-82
pubmed: 8014543
Medicine (Baltimore). 2020 Jan;99(4):e18883
pubmed: 31977895
J Hand Surg Am. 2013 Sep;38(9):1833-4
pubmed: 23928017
J Hand Surg Eur Vol. 2014 Sep;39(7):770-6
pubmed: 24027134