Kienböck’s disease with non-negative ulnar variance

Hong, In Tae; Lee, Mi Kyung; Jang, Gyu Chol; Kim, Gotak; Han, Soo-Hong

doi:10.1007/s00132-018-3641-5

Cited by 10 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another study reported on the outcomes of a combined radial wedge and shortening osteotomy. Hong et al performed a combined radial wedge and shortening osteotomy for non-negative UV patients only among Lichtman stages IIIA and IIIB patients, and found excellent results at a mean follow-up period of 22.3 months (22). Here, a combined radial wedge and shortening osteotomy was performed in all patients with advanced Kienböck's disease, regardless of the degree of UV.…”

Section: Resultsmentioning

confidence: 91%

Combined radial wedge and shortening osteotomy versus scaphocapitate arthrodesis in advanced Kienböck’s disease

Woo¹,

Kim²,

Ahn³

et al. 2022

Acta Orthop Belg

View full text Add to dashboard Cite

Although various surgical techniques have been reported for the treatment of advanced Kienböck’s disease (Lichtman stage IIIB and above), the ap- propriate operative treatment is still being debated. This study compared the clinical and radiological outcomes of combined radial wedge and shortening osteotomy (CRWSO) and scaphocapitate arthrodesis (SCA) in the treatment of advanced Kienböck’s disease (above type IIIB) with a minimum of 3 years of follow-up. We analyzed the data from 16 and 13 patients who underwent CRWSO and SCA, respectively. The average follow-up period was 48.6±12.8 months. Clinical outcomes were evaluated using the flexion-extension arc, grip strength, Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH), and Visual Analogue Scale (VAS) for pain. The following radiological parameters were measured: ulnar variance (UV), carpal height ratio (CHR), radioscaphoid angle (RSA), and Stahl index (SI). Osteoarthritic changes in the radiocarpal and midcarpal joints were evaluated using computed tomography (CT). Clinically, both groups showed significant improvements in the grip strength, DASH, and VAS at final follow-up. However, regarding the flexion-extension arc, the CRWSO group showed a significant improvement, while the SCA group did not. Radiologically, compared to the preoperative values, the CHR results improved at final follow-up in the CRWSO and SCA groups. There was no statistically significant difference in the degree of CHR correction between the 2 groups. By the final follow-up visit, none of the patients in either group had progressed from Lichtman stage IIIB to stage IV. Considering restoration of wrist joint range of motion, CRWSO may be a good alternative for limited carpal arthrodesis for advanced Kienböck’s disease.

show abstract

Section: Resultsmentioning

confidence: 91%

Combined radial wedge and shortening osteotomy versus scaphocapitate arthrodesis in advanced Kienböck’s disease

Woo¹,

Kim²,

Ahn³

et al. 2022

Acta Orthop Belg

View full text Add to dashboard Cite

show abstract

“…Kienböck's disease is a condition that progresses with avascular necrosis of the lunate and causes progressive pain and loss of function in the wrist joint. The most common factors in its etiology are negative ulnar variance, arterial ischemia, repetitive traumas, and heavy work where hands are used a lot [5,15,16]. Planning the treatment of Kienböck's disease depends on patient-related factors such as ulnar variance, the stage of the disease, the presence or absence of arthrosis findings, and the patient's age or expectations [16,17].…”

Section: Resultsmentioning

confidence: 99%

Functional and clinical results of arthroscopic forage treatment in stage 1 Kienböch s patients

Atilgan,

Demiryürek,

Çolak

et al. 2024

j-ebr

View full text Add to dashboard Cite

To compare the functional and clinical results of early stage 1 Kienböch patients in whom we performed arthroscopic forage and syneviectomy. Methods: Adult patients who applied to Necmettin Erbakan University Meram Medical Faculty Orthopedics and Traumatology outpatient clinic between 01 June 2021 and 01 June 2022 were diagnosed with Kienböch stage 1 and were to be planned for arthroscopic forage treatment were included in the study. Patients who smoked, underwent other treatment protocols and received systemic steroid treatment were excluded from the study. Quick Arm Hand and Shoulder Problems (QuickDASH) questionnaire and visual analogue Pain Scale (VAS) score were applied to the patients before and at 3 months, 6 months, 9 months and 12 months after surgery. During the clinical examination, postoperative total joint range of motion (ROM) was measured and the normal side was examined. In addition, grip and pinch strength measurements were examined. Radiological criteria such as carpal height ratio, subchondral cyst and osteophyte formation were evaluated at each control. Results: 22 patients applied to our clinic and 13 of them accepted the surgical procedure. 7 of these patients were men and 6 were women. Their average age was 27.8 years. The average follow-up period of these patients was 12 months. When the patients were examined after 12 months of follow-up, it was seen that the postsurgical vas score was significantly lower than the pre-surgical vas score (p<0.001). QuickDASH score and passive wrist movements improved significantly at postoperative follow-up. Grip strength increased significantly. Lichtman staging remained the same in 85% of patients. Conclusions: In stage 1 Kienböch patients, arthroscopic forage and wrist synovectomy are performed, minimizing the functional losses of the patients and providing a rapid decrease in pain levels. As a consequence, patients return to social and business life early and with minimal loss.

show abstract

“…One study had a goal of 10° to 15° of radial inclination with 2 mm of shortening, and the other study had a goal of 5° to 10°of radial inclination with <3 mm of RS. 20 , 22 …”

Section: Resultsmentioning

confidence: 99%

Novel Descriptions of the Radial Osteotomy in Kienböck’s Disease: A Systematic Review

Heifner¹,

Halpern²,

Zavurov³

et al. 2023

Journal of Hand Surgery Global Online

View full text Add to dashboard Cite

Kienböck’s disease with non-negative ulnar variance

Abstract: Radial wedge and shortening osteotomy can be recommended as an option for Kienböck's disease with non-negative ulnar variance, based on acceptable results from this study.

Cited by 10 publications

References 23 publications

Combined radial wedge and shortening osteotomy versus scaphocapitate arthrodesis in advanced Kienböck’s disease

Combined radial wedge and shortening osteotomy versus scaphocapitate arthrodesis in advanced Kienböck’s disease

Functional and clinical results of arthroscopic forage treatment in stage 1 Kienböch s patients

Novel Descriptions of the Radial Osteotomy in Kienböck’s Disease: A Systematic Review

Contact Info

Product

Resources

About