See hand specialist: Aseptic necrosis (avn) of the scaphoid may occur from prior trauma/scaphoid fracture or rarely without a previous fracture as in preiser disease where avn of scaphoid bone occurs possibly due to 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. See a hand orthopedic surgeon.
Answered 7/5/2012
5.8k views
Mostly wait: Treatment depends upon the amount of bone involvement. For whatever reason the blood supply to your scaphoid bone was interrupted. Mild symptoms can be treated with oral and/or injectable steroids and immobilization. More severe symptoms may require surgical intervention. Surgical treatments may be aimed at restoring the blood supply, reducing inflammation or fusing the wrist.
Answered 7/6/2012
5.7k views
Depends...: If only a small portion of the scaphoid involved we will observe. More significant involvement many times we will try revascularization procedures to bring more blood supply to the bone. This will require a hand surgeon evaluation -.
Answered 12/9/2012
5.4k views
Evaluate for underly: Evaluate for underlying causes - fractures, coagulopathies, hyperbaric, etc.
Answered 12/24/2013
4.7k views
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