ArticleJournal of hand surgery global online2026
A Case of Capitate Osteonecrosis in a Patient With Thalassemia.
Article in Journal of hand surgery global online, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We report a rare case of capitate osteonecrosis in a 51-year-old woman with thalassemia presenting with persistent wrist pain. Imaging findings were consistent with osteonecrosis of the capitate, and the patient underwent surgical treatment with a vascularized bone graft from the second metacarpal and cancellous bone graft from the iliac crest. Histopathological examination confirmed ischemic osteonecrosis. At 15 months after surgery, clinical improvement was limited; however, magnetic resonance imaging demonstrated preservation of capitate morphology and reduced signal abnormalities. Capitate osteonecrosis in patients with thalassemia is extremely rare but should be considered in the differential diagnosis of wrist pain. Early recognition may facilitate timely intervention and help prevent disease progression.
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