Temporary scapho-trapezoidal joint fixation for Kienböck's disease in a 12-year-old girl: A case report

Time Course of Magnetic Resonance Images in an Adolescent Patient With Kienböck’s Disease Treated by Temporary Scaphotrapezoidal Joint Fixation: A Case Report

“…This case report differs from 2 previous reports of Kienböck's disease 7,8 in skeletally immature patients in that MRI was used to decide the timing for wire withdrawal.…”

Distal radius definitive epiphysiodesis for management of Kienböck´s disease in skeletally immature patients

“…Three were lost to final follow-up, three achieved excellent results with conservative treatment, and the remaining patients were treated surgically through a radial shortening osteotomy and showed good radiological and clinical outcomes at the five-year follow-up. Yasuda et al [9] performed a temporary fixation of the scaphotrapezoidal joint in an asymptomatic 12-year-old girl with stage IIIB Kienböck's disease. Radiological signs of revascularization were observed at the 16-month follow-up.…”

“…This entity is called infantile lunatomalacia in children under 13 years of age and juvenile lunatomalacia in older patients [1]. Several treatment options have been described in the literature; however, there are neither large series nor homogeneous studies that have clarified which treatment is best [1][2][3][4][5][6][7][8][9]. Nonsurgical treatment should be considered for children under 15 years of age as the first approach [1].…”

Temporary Scaphotrapezoidal Joint Fixation for Adolescent Kienböck's Disease

“…Although Yajima et al 18 suggested temporary STT joint fixation for adult patients with Kienböck's disease, this procedure is combined with vascular bundle of the second or third metacarpal artery and vein, vascularized bone grafting, and interposition of a tendon roll. In 1998, Yasuda et al 3 reported initial temporary ST joint fixation alone for Kienböck's disease in a 12-year-old girl. Wrist pain disappeared and wrist motion was improved.…”

“…On the other hand, some investigators have reported treatment by limited wrist fixation. Yasuda et al 3 reported a 12-year-old girl successfully treated with temporary scaphotrapezoidal joint (ST) joint fixation. Shigematsu et al 4 obtained similarly good results in an 11-year-old girl with temporary scaphotrapeziotrapezoidal (STT) joint fixation.…”