Preiser disease

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Prab R. Tumpati, MD — Editor-in-Chief, WikiMD Medical Encyclopedia
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Preiser disease
Error creating thumbnail: File with dimensions greater than 12.5 MP Palmar view of the scaphoid bone
Synonyms	Idiopathic avascular necrosis of the scaphoid
Pronounce	N/A
Specialty	Orthopedic surgery
Symptoms	Wrist pain, decreased range of motion, tenderness over the scaphoid
Complications	Osteoarthritis of the wrist
Onset	Typically in adults
Duration	Chronic
Types	N/A
Causes	Unknown, possibly related to trauma or vascular insufficiency
Risks	Previous wrist injury, repetitive wrist stress
Diagnosis	X-ray, MRI
Differential diagnosis	Scaphoid fracture, Kienböck's disease
Prevention	N/A
Treatment	Immobilization, surgery
Medication	N/A
Prognosis	Variable, depends on stage at diagnosis
Frequency	Rare
Deaths	N/A

Preiser disease is a rare condition that affects the wrist, specifically the scaphoid bone. It is characterized by avascular necrosis of the scaphoid bone, which can lead to pain, stiffness, and loss of function in the wrist. The exact cause of Preiser disease is unknown, but it is thought to be related to trauma or repetitive stress on the wrist.

Symptoms

The main symptom of Preiser disease is pain in the wrist, which can be severe and is often worse with activity. Other symptoms may include:

• Stiffness in the wrist
• Swelling in the wrist
• Decreased range of motion
• Difficulty performing tasks that require fine motor skills

Causes

The exact cause of Preiser disease is unknown. However, it is thought to be related to trauma or repetitive stress on the wrist. Some researchers believe that it may also be related to certain genetic factors.

Diagnosis

Diagnosis of Preiser disease is typically made based on the patient's symptoms and a physical examination. Imaging tests, such as X-rays, MRIs, or CT scans, may also be used to confirm the diagnosis and assess the extent of the disease.

Treatment

Treatment for Preiser disease typically involves managing the symptoms and trying to prevent further damage to the scaphoid bone. This may include:

• Rest and immobilization of the wrist
• Pain management with medications
• Physical therapy to improve range of motion and strength
• In severe cases, surgery may be required

Prognosis

The prognosis for Preiser disease varies depending on the severity of the disease and the patient's overall health. With early diagnosis and treatment, many people with Preiser disease are able to maintain a good quality of life.

See also

• Scaphoid bone
• Avascular necrosis
• Wrist pain