Biomechanical analysis of limited intercarpal fusion for the treatment of Kienböck's disease: A three-dimensional theoretical study

1998 ◽  
Vol 16 (2) ◽  
pp. 256-263 ◽  
Author(s):  
Norimasa Iwasaki ◽  
Eiichi Genda ◽  
Peter J. Barrance ◽  
Akio Minami ◽  
Kiyoshi Kaneda ◽  
...  
Keyword(s):  
Theoretical Study ◽  
Three Dimensional ◽  
Biomechanical Analysis ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Intercarpal Fusion ◽  
Kienbock’S Disease

Medial femoral trochlea flap reconstruction versus proximal row carpectomy for Kienböck’s disease: a morphometric comparison

2021 ◽  
pp. 175319342110318
Author(s):  
Amelia C. Van Handel ◽  
Leigha M. Lynch ◽  
Jimmy H. Daruwalla ◽  
James P. Higgins ◽  
Kari L. Allen ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Proximal Row Carpectomy ◽  
Geometric Morphometric ◽  
Femoral Trochlea ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Articular Surfaces ◽  
Surgical Options ◽  
Geometric Morphometric Analysis ◽  
Kienbock’S Disease

Surgical options for advanced Kienböck’s disease include proximal row carpectomy or lunate reconstruction with a medial femoral trochlea osteochondral flap. This study compares morphology of the proximal capitate and the medial femoral trochlear surfaces to the proximal lunate using three-dimensional geometric morphometric analysis. Virtual articular surfaces were extracted from MRI studies of ten healthy volunteers. Distances between corresponding points on the proximal lunate and proximal capitate or medial femoral trochlear surfaces were measured. In seven subjects, mean inter-surface distance for the medial femoral trochlea–proximal lunate pair was significantly lower than the proximal capitate–proximal lunate pairing. In three subjects, mean proximal capitate–proximal lunate distance was significantly lower. We conclude that the medial femoral trochlear flap was anatomically closer to the shape of the proximal lunate in the majority of the examined subjects. However, we found that in three out of ten cases, the proximal capitate was a better match.

Force transmission through the wrist joint in Kienböck's disease: A two-dimensional theoretical study

1998 ◽  
Vol 23 (3) ◽  
pp. 415-424 ◽  
Author(s):  
Norimasa Iwasaki ◽  
Eiichi Genda ◽  
Akio Minami ◽  
Kiyoshi Kaneda ◽  
Edmund Y.S. Chao
Keyword(s):  
Theoretical Study ◽  
Wrist Joint ◽  
Two Dimensional ◽  
Force Transmission ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

Biomechanical analysis of radial wedge osteotomy for the treatment of Kienböck's disease

1993 ◽  
Vol 18 (4) ◽  
pp. 686-690 ◽  
Author(s):  
Kentaro Watanabe ◽  
Ryogo Nakamura ◽  
Emiko Horii ◽  
Takayuki Miura
Keyword(s):  
Biomechanical Analysis ◽  
Wedge Osteotomy ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

Biomechanical analysis of capitate shortening with capitate hamate fusion in the treatment of Kienböck's disease

1998 ◽  
Vol 23 (3) ◽  
pp. 395-401 ◽  
Author(s):  
Randall W. Viola ◽  
Patti K. Kiser ◽  
Allen W. Bach ◽  
Douglas P. Hanel ◽  
Allan F. Tencer
Keyword(s):  
Biomechanical Analysis ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

Wedge osteotomies of the radius for Kienböck's disease: A biomechanical analysis

2002 ◽  
Vol 27 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Benjamin Kam ◽  
Steven M. Topper ◽  
Sean McLoughlin ◽  
Qi Liu
Keyword(s):  
Biomechanical Analysis ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

Biomechanical Analysis of the Stress Force on Midcarpal Joint in Kienböck's Disease

Hand Surgery ◽  
1997 ◽  
Vol 02 (02) ◽  
pp. 101-115 ◽  
Author(s):  
K. Nakamura ◽  
M. Beppu ◽  
K. Matsushita ◽  
T. Arai ◽  
T. Ide
Keyword(s):  
Biomechanical Analysis ◽  
Type I ◽  
Type Ii ◽  
Ulnar Deviation ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Dynamic Examination ◽  
Model Computer ◽  
Midcarpal Joint ◽  
Kienbock’S Disease

Two types of lunate were recognized in the midcarpal joint. Type I lunate has no facet articulation with the hamate, and Type II lunate has a facet articulation with the hamate. The purposes of this study are to estimate the biomechanical contribution of Type II lunate for Kienböck's disease, and to elucidate the change of the contact surface between the lunate and hamate during radial and ulnar deviation for both Type I and Type II. Twenty-four contralateral unaffected wrists with Kienböck's disease were used for the first purpose. The radiographic force analysis was performed with a modified two-dimensional rigid-body spring model computer-simulation technique. Six wrists of volunteers (3 of Type I and 3 of Type II lunates) were used for the second purpose. Dynamic examination on lunohamate joint was carried out using magnetic resonance imaging. The force distribution between the radius and Type II lunate was greater than that between the radius and Type I lunate statistically. Furthermore, the impingement of articular cartilages between Type II lunate and hamate was observed in ulnar deviation on dynamic study. These results suggest that Type II lunate was one of the anatomical risk factors for Kienböck's disease.

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