Their recommendation for treatment of chronic injuries is salvage with a proximal row carpectomy if the cartilage on the proximal aspect of the capitate
Giantcell tumor of the capitate. J Hand Surg [Am] 1984;9(2):272-274.
Giant-cell tumor of the capitate. Orthopedics 2001;24(11):1085-1086.
If the distal row is affected, complete excision of the involved bone combined with an intercarpal fusion is the method of choice as well ; however, complete excision of the capitate without reconstruction of distal row or distal row carpectomy also can be surgical option [18,29].
For this purpose in our case, the essential prerequisite was that the bone stock of the primary reconstructed capitate bone demonstrated a solid bony structure for safe fixation of the carpal TWA monoblock component with its central peg into the reconstructed capitate in the absence of local recurrence of GCT or local postoperative osteitis.
Le Viet, "Failure of initial surgical treatment of a giant cell tumor of the capitate and its salvage: a case report," Chirurgie de la Main, vol.
(5, 6) The advantage of scaphoid capitate fusion over scaphotrapeziotrapezoidal fusion are large bony area for fusion and only one articulation to fuse.
At 30 months follow up post-operation carpal height is maintained, no proximal migration of the capitate bone and no obvious signs of worsening of radiolunate arthritis.
Two types of glandular trichomes are distributed on the outside surface of calyx, namely, peltate ones and capitate ones (Figure 4(a)).
Unlike the glandular trichomes on the outer side of calyx, only one type of trichome, which is capitate trichome, is distributed on the inner side.
Where the same HMOs each capitate the same provider organizations, variability in access to care performance among HMOs could decrease because the same physician organizations may serve enrollees from each HMO.
Moreover, specialist referral policies will vary among capitated provider organizations, even if the same HMO capitates each provider organization.