Bilateral Kienböck’s Disease

Abstract

We conducted a retrospective review of 11 patients with bilateral Kienbock's disease from our series of 251 patients with Kienbock's disease. There were no significant differences in radiographic parameters, including ulnar variance and carpal bone angle, between those with unilateral and those with bilateral Kienbock's disease. None of the patients with bilateral disease had been treated with corticosteroids or had a systemic disease that predisposed to osteonecrosis. Thus, this study failed to demonstrate any risk factor for bilateral, as opposed to unilateral Kienbock's disease.

Bilateral pediatric Kienböck’s disease

“…They suggested that mechanical stress contributes toward the development of symptoms because eight patients in their series were manual workers. The current patient was a basketball player who performed intensive exercise, and one of the patients reported by Yazaki et al [2] was also a basketball player. Nakamura et al [10] reported that eight of 10 patients with sportsrelated Kienböck's disease were younger than 20 years of age.…”

“…The incidence of bilateral Kienböck's disease has been reported to be 3-7% [2][3][4][5], and a rare manifestation of pediatric Kienböck's disease accounted for only 1% of cases in the main series [6]. The incidence of bilateral Kienböck's disease has been reported to be 3-7% [2][3][4][5], and a rare manifestation of pediatric Kienböck's disease accounted for only 1% of cases in the main series [6].…”

“…The incidence of bilateral Kienböck's disease has been reported to be 3-7% [2][3][4][5], and a rare manifestation of pediatric Kienböck's disease accounted for only 1% of cases in the main series [6]. Yazaki et al [2] reported 11 cases of bilateral Kienböck's disease and stated that none of the patients had taken corticosteroids or been diagnosed with a collagen disease. Yazaki et al [2] reported 11 cases of bilateral Kienböck's disease and stated that none of the patients had taken corticosteroids or been diagnosed with a collagen disease.…”

“…Bilateral Kienböck's disease in pediatrics is extremely rare, and only a few case reports [1,2] are available in the literature. In the French literature, Blachier et al [1] reported a case of bilateral Kienböck's disease in a 14year-old female patient who was treated with radial shortening osteotomy.…”

“…In the French literature, Blachier et al [1] reported a case of bilateral Kienböck's disease in a 14year-old female patient who was treated with radial shortening osteotomy. Yazaki et al [2] reported a case of Kienböck's disease in the bilateral wrists of a 14-year-old male patient who was managed conservatively. Yazaki et al [2] reported a case of Kienböck's disease in the bilateral wrists of a 14-year-old male patient who was managed conservatively.…”