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https://www.readbyqxmd.com/read/29117840/very-distal-radius-wedge-osteotomy-for-kienb%C3%A3-ck-s-disease-case-series
#1
Hirotaka Okubo, Chojo Futenma, Hideyuki Sunagawa, Masaki Kinjo, Fuminori Kanaya
BACKGROUND: Radius osteotomy is one of the standard surgical procedures for the treatment of Kienböck's disease. Unfortunately, radius osteotomy can result in an incongruous distal radio-ulnar joint (DRUj) postoperatively, because the procedure is performed proximal to the DRUj. METHODS: A very distal radius wedge osteotomy was performed as a 15-degree lateral closing wedge osteotomy with the apex of the wedge distal to that of conventional lateral closing wedge osteotomy; this procedure was developed to avoid postoperative incongruous DRUj...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29105588/results-of-scaphocapitate-arthrodesis-with-lunate-excision-in-advanced-kienb%C3%A3-ck-disease-at-10-7-year-mean-follow-up
#2
Amaury Charre, Stephanie Delclaux, Costel Apredoai, Jean-Emmanuel Ayel, Michel Rongieres, Pierre Mansat
Scaphocapitate arthrodesis with lunate excision was performed for treatment of advanced Kienböck disease in 17 patients (18 wrists). Ten were women and seven men. Five were Lichtmann Stage IIIA, 12 Stage IIIB, and one Stage IV. Minimum follow-up period was 24 months; mean follow-up was 10.7 years (range 2.3 to 22 years, SD 7.1). At the latest follow-up, six patients were very satisfied, nine were satisfied and two were disappointed. Pain was significantly decreased in all cases. Wrist mobility was unchanged...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29091489/interobserver-agreement-in-diagnosing-early-stage-kienb%C3%A3-ck-disease-on-radiographs-and-magnetic-resonance-imaging
#3
Wouter F van Leeuwen, Stein J Janssen, Thierry G Guitton, Neal Chen, David Ring
BACKGROUND: The appearance of early Kienböck disease on radiographs and magnetic resonance imaging (MRI) may be difficult to distinguish from other conditions that affect the lunate. We aimed to assess the interobserver agreement in the diagnosis of early Kienböck disease when evaluated on different imaging modalities. METHODS: Forty-three hand surgeon members of the Science of Variation Group were randomized to evaluate radiographs and 35 hand surgeons to evaluate radiographs and MRI scans of 26 patients for the presence of Kienböck disease, the lunate type, and the ulnar variance...
November 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29068934/resurfacing-capitate-pyrocarbon-implant-versus-proximal-row-carpectomy-alone-a-comparative-study-to-evaluate-the-role-of-capitate-prosthetic-resurfacing-in-advanced-carpal-collapse
#4
COMPARATIVE STUDY
Francesco Giacalone, Pietro G di Summa, Alessandro Fenoglio, Arman Sard, Elisa Dutto, Matteo Ferrero, Maddalena Bertolini, Marc Garcia-Elias
BACKGROUND: The Resurfacing Capitate Pyrocarbon Implant associated with proximal row carpectomy has been used to treat symptomatic advanced carpal collapse, widening the indications of proximal row carpectomy to patients with capitate head arthritis. The authors retrospectively compared their case series of implant versus carpectomy alone, analyzing whether prosthetic implant outcomes could be similar to those of proximal row carpectomy even with a higher stage of osteoarthritis. METHODS: Fifty-seven patients who underwent surgery for wrist osteoarthritis (minimum follow-up, 2 years) were selected retrospectively...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29067099/treatment-of-gout-combined-with-kienb%C3%A3-ck-s-disease-a-case-report
#5
Hui Lu, Qiang Chen, Hang Yu, Zhenfeng Liu
Cases of Kienböck's disease combined with gout are rare; to the best of our knowledge, the current report is the third such case reported in the literature. The current report presents the case of a 49-year-old male patient with Kienböck's disease combined with gout. The patient had experienced swelling and pain of their right wrist for 1 month. Through a combination of clinical history, physical examination, laboratory results, radiological and intraoperative findings, the patient was diagnosed with stage IIIB-IV Kienböck's disease and gout...
November 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28991584/the-role-of-wrist-arthroscopy-in-kienbock-disease
#6
REVIEW
Simon B M MacLean, Karim Kantar, Gregory I Bain, David M Lichtman
Kienbock disease (KD) is a disease of uncertain etiology, leading to chondral and osseous change in the lunate and wrist. Traditionally, Lichtman's classification of KD, based on radiographic appearances, has been used to direct treatment. Diagnostic wrist arthroscopy allows direct assessment of the lunate and surrounding articulations. Wrist arthroscopy can also serve as a therapeutic tool for performing debridement, resection, or arthrodesis procedures. The new Lichtman-Bain algorithm takes into consideration the status of the lunate, the effect on the wrist, and surgical and patient factors to guide management...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28888572/risk-factors-of-lunate-collapse-in-kienb%C3%A3-ck-disease
#7
Wouter F van Leeuwen, Matthew A Tarabochia, Arnold H Schuurman, Neal Chen, David Ring
PURPOSE: Not all patients with Kienböck disease progress to collapse of the lunate and carpal malalignment, but it is difficult to determine which patients are at risk. We aimed to identify demographic or anatomical factors associated with more advanced stages of Kienböck disease. METHODS: We included all 195 eligible patients with Kienböck disease and available preoperative posteroanterior and lateral radiographs. We compared the mean age, sex distribution, mean ulnar variance, radial height, radial (ulnarward) inclination, palmar tilt, anteroposterior distance, and lunate type among the different Lichtman stages of Kienböck disease and performed ordinal logistic regression analysis...
November 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28862169/three-dimensional-intralunate-arteries-visualization-with-red-lead-pb3o4-angiography
#8
Zi-Run Xiao, Wei-Guang Zhang, Ge Xiong, You-Le Zhang
BACKGROUND: The etiology of Kienböck's disease is controversial, and the blood supply is a possible pathogenic factor. The red lead (Pb3O4) angiography with micro-computed tomography (micro-CT) of lunate to investigate intralunate arteries has rarely been reported. This study aimed to investigate a new, reasonable, and simplified technique to study the intraosseous arterial pattern of normal lunates. METHODS: This study investigated the intraosseous arterial pattern of six normal cadaveric lunates through Pb3O4injection and three-dimensional reconstruction with micro-CT...
August 31, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28861204/clinical-outcome-of-lateral-wedge-osteotomy-of-the-radius-in-advanced-stages-of-kienb%C3%A3-ck-s-disease
#9
Young Ho Shin, Jihyeung Kim, Hyun Sik Gong, Seung Hwan Rhee, Min Joon Cho, Goo Hyun Baek
BACKGROUND: Radius osteotomies showed favorable clinical outcome in Kienböck's disease. However, few articles have been published on the long-term outcome of lateral wedge osteotomy of the radius in patients with advanced stage Kienböck's disease. METHODS: Eleven patients with Lichtman stage IIIB/IV Kienböck's disease (group A; mean follow-up period, 86.1 months; range, 48 to 163 months) and 14 patients with Lichtman stage IIIA Kienböck's disease (group B; mean follow-up period, 85...
September 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28840675/spontaneous-rupture-of-the-digital-extensor-tendons-of-the-hand-in-unrecognized-carpal-lunatefracture
#10
A Barbati, A Geraci, M Borri, F Polidoro, S Di Carlo, V Salini
Spontaneous rupture of the digital extensor tendons of the hand has been reported after Kienbocks disease, rheumatoid arthritis, Vaughan-Jackson syndrome, distal radial fracture. Rupture may also occur as a consequence of unrecognized carpal lunate fracture. We present a case report of a man affected with spontaneous rupture of the digital extensor tendons secondary to unrecognized carpal lunate fracture with partial dorsal dislocation. The edges of the tendon were debrided and sutured using a locked modified Kessler suture...
March 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28832203/the-fourth-extensor-compartment-artery-vascularized-bone-graft-of-the-distal-radius-for-cmc-fusion-in-the-treatment-of-carpal-boss-a-case-report
#11
Jorge G Boretto, David Fernandez-Fernandez, Gerardo Gallucci, Pablo De Carli
BACKGROUND: Carpometacarpal joints can be affected by traumatic or degenerative pathology. Although different techniques have been described to treat these conditions, most authors agree that arthrodesis is an effective treatment modality. Vascularized bone grafts of the distal radius have been used to treat carpal conditions, such as scaphoid nonunion or Kiënbock disease, and they have been shown to have several advantages over nonvascularized bone grafts. METHODS: We report a case of a carpal boss in a female patient treated with an arthrodesis of the second and third carpometacarpal joints by using the fourth extensor compartment artery vascularized bone graft...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28756188/long-term-outcomes-of-proximal-row-carpectomy-a-series-of-62-cases
#12
B Chedal-Bornu, D Corcella, A Forli, F Moutet, M Bouyer
The aim of this study was to determine and analyze the functional and radiographic outcomes after proximal row carpectomy (PRC). We hypothesized that this surgery could restore wrist mobility and function in case of radiocarpal osteoarthritis or severe carpal trauma. Sixty-two patients who had undergone PRC were included in this study: 44 patients with wrist osteoarthritis (11 SNAC, 24 SLAC, 3 Kienböck's disease, 6 other) and 18 patients with severe carpal trauma. Each patient underwent clinical (pain, range of motion, grip strength, functional scores) and radiographic evaluations...
October 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28666672/radius-core-decompression-for-kienb%C3%A3-ck-disease-stage-iiia-outcomes-at-13-years-follow-up
#13
Pablo De Carli, Ezequiel Ernesto Zaidenberg, Veronica Alfie, Agustin Donndorff, Jorge Guillermo Boretto, Gerardo Luis Gallucci
PURPOSE: This study was designed to analyze the long-term clinical and radiological outcomes of a series of patients with Kienböck disease stage IIIA treated with radius core decompression. METHODS: This retrospective study included 15 patients with Kienböck disease (Lichtman stage IIIA) who underwent distal radius metaphyseal core decompression between 1998 and 2005 and who were followed-up for at least 10 years. At the last follow-up, the patients were evaluated for wrist range of motion and grip strength...
September 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28619441/radiologic-guide-to-surgical-treatment-of-kienbock-s-disease
#14
REVIEW
Erika M Nealey, Jonelle M Petscavage-Thomas, Felix S Chew, Christopher H Allan, Alice S Ha
Kienbock's disease, or avascular necrosis of the lunate, is a progressive disease ultimately resulting in end-stage arthrosis of the wrist. Various surgical treatments are available for different Lichtman stages of disease. We review the surgical options and indications, expected radiologic post-operative appearance, as well as detail potential surgical complications, as they relate to Kienbock's disease.
April 25, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28583637/results-of-a-prospective-clinical-study-on-the-diagnostic-performance-of-standard-magnetic-resonance-imaging-in-comparison-to-a-combination-of-3t-mri-and-additional-ct-imaging-in-kienb%C3%A3-ck-s-disease
#15
Stephane Stahl, Pascal Hentschel, Dominik Ketelsen, Ulrich Grosse, Manuel Held, Theodora Wahler, Roland Syha, Hans-Eberhard Schaller, Konstantin Nikolaou, Gerd Grözinger
PURPOSE: This prospective clinical study examined standard wrist magnetic resonance imaging (MRI) examinations and the incremental value of computed tomography (CT) in the diagnosis of Kienböck's disease (KD) with regard to reliability and precision in the different diagnostic steps during diagnostic work-up. MATERIALS AND METHODS: Sixty-four consecutive patients referred between January 2009 and January 2014 with positive initial suspicion of KD according to external standard wrist MRI were prospectively included (step one)...
May 2017: European Journal of Radiology
https://www.readbyqxmd.com/read/28577783/biologic-approaches-to-problems-of-the-hand-and-wrist
#16
REVIEW
Murphy M Steiner, James H Calandruccio
Orthobiologics are not used as frequently in the hand and wrist as in other sites. The most frequently reported is the use of bone morphogenetic protein for the treatment of Kienböck disease. Animal studies have described improved tendon healing with the use of platelet-rich plasma (PRP), but no clinical studies have confirmed these results. PRP has been reported to produce improvements in the outcomes of distal radial fractures and osteoarthritis of the trapeziometacarpal in small numbers of patients. The use of orthobiologics in the hand and wrist are promising, but clinical trials are necessary to establish efficacy and safety...
July 2017: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/28549360/-intercarpal-fusion-as-a-salvage-procedure-in-kienb%C3%A3-ck-disease
#17
M Puig-Zentella, J A Rivas-Montero, E Hernández-Méndez-Villamil, A J Espinosa-Gutiérrez
INTRODUCTION: Functional results of four surgical techniques to resolve the IIIB-IV Litchman's stage of the Kienböck disease were analyzed. We observed the evolution from 2000 to 2015. MATERIAL AND METHODS: Transversal retrospective study of 33 patients treated with different surgical techniques and evaluated with Quick-DASH scale, dynamometer and EVA. RESULTS: Less functional limitation was found in the patients who underwent the intercarpal fusion with or without neurotomy of the posterior interosseous...
November 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28465193/clinical-outcomes-of-proximal-row-carpectomy-by-preoperative-midcarpal-joint-morphological-classification-viegas-type-i-versus-type-ii
#18
A Toffoli, H Lenoir, C Lazerges, B Coulet, M Chammas
The midcarpal joint can be classified into two anatomical types - Viegas type I and Viegas type II - based on the absence or presence of a medial facet for the hamate on the lunate (lunohamate facet). Type I is associated with a round capitate shape, which theoretically allows better congruence with the lunate fossa of the distal radius following proximal row carpectomy (PRC). This morphological feature has never been considered as a predictive factor of clinical outcome for this surgical procedure. This study aimed to compare the clinical and radiological outcomes of the two Viegas types following PRC...
June 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28453342/flexor-tendon-rupture-due-to-previously-undiagnosed-kienb%C3%A3-ck-disease-a-case-report
#19
Kenrick Turner, Nicholas N Sheppard, Samuel E Norton
BACKGROUND: Spontaneous flexor tendon rupture is rare and most common in the little finger. The pathogenesis of spontaneous tendon ruptures is unclear but may occur through attrition or mechanical abrasion over a bony prominence. Kienböck disease is avascular necrosis of the lunate, with an unknown etiology. METHODS: We present a case of spontaneous rupture of flexor digitorum profundus due to Kienböck disease, which we believe is the first recorded case of flexor tendon rupture attributable to osteonecrosis of the lunate...
May 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28383357/radiopaque-element-to-evaluate-adequacy-of-debridement-of-bony-lesions
#20
Nicholas Pulos, Alexander Y Shin
A technique for using an x-ray detectable radiopaque element from a surgical sponge to assess the adequacy of debridement of carpal bone cysts, Kienböck disease (lunate avascular necrosis), enchondroma of the digits, and scaphoid nonunions is described. The technique is simple to perform, inexpensive, and presents minimal additional risk to the patient. The technique has been used over the past 16 years and has enabled adequate debridement of these hand and wrist maladies by radiographically demonstrating the adequacy of the debridement to be bone grafted...
September 2017: Techniques in Hand & Upper Extremity Surgery
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