STT arthrodesis versus proximal row carpectomy for Lichtman stage IIIB Kienböck’s disease: first results of an ongoing observational study

2012 ◽  
Vol 132 (9) ◽  
pp. 1327-1334 ◽  
Author(s):  
Bernd Hohendorff ◽  
Marion Mühldorfer-Fodor ◽  
Karlheinz Kalb ◽  
Jörg van Schoonhoven ◽  
Karl-Josef Prommersberger
Keyword(s):  
Observational Study ◽  
Stage Iiib ◽  
Proximal Row Carpectomy ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
First Results ◽  
Stt Arthrodesis ◽  
Kienbock’S Disease

Kienböck’s Disease in Cerebral Palsy

1998 ◽  
Vol 23 (6) ◽  
pp. 746-748 ◽  
Author(s):  
C. LECLERCQ ◽  
C. XARCHAS
Keyword(s):  
Cerebral Palsy ◽  
Proximal Row Carpectomy ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

The incidence of Kienböck's disease is known to be higher in cerebral palsy patients, but little has been written on treatment. We report a case of Kienböck's disease in a young man affected by cerebral palsy. A proximal row carpectomy was done, which relieved spasticity at the same time as treating the disease.

scholarly journals Treatment of Advanced Kienbock's Disease (Lichtman Stage IIIB with Carpal Collapse) by a Shortening Osteotomy of the Radius: 21 Cases

2019 ◽  
Vol 08 (04) ◽  
pp. 264-267 ◽  
Author(s):  
J. C. Botelheiro ◽  
Silvia Silverio ◽  
Ana Luísa Neto
Keyword(s):  
The Other ◽  
Stage Iiib ◽  
X Rays ◽  
Carpal Collapse ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
The Past ◽  
Shortening Osteotomy ◽  
Flexion Extension ◽  
Kienbock’S Disease

Purpose To review the results of shortening osteotomies of the radius in our stage IIIB Kienbock's disease patients. Materials and Methods In the past 30 years, we treated 52 cases of Kienbock's disease by a shortening osteotomy of the radius, of which 21 already had carpal collapse. All patient charts and X-rays were reviewed, but only the cases already with carpal collapse (stage IIIB) are presented here. Results All patients improved after surgery. Pain, on a scale of 0 to 3, generally 2 or 3 before surgery (median: 2.3), was normally 1 or 0 afterward (median: 0.9); median flexion–extension of the wrist improved from 77 to 99 degrees; and grip strength of the other hand improved from 26 to 76%. The last clinical and radiological review was performed 1 to 23 years after surgery (median: 8 years). Conclusion Advanced Kienbock’s disease with carpal collapse is not a contraindication for carpal-sparing surgery radial shortening osteotomy.

scholarly journals Lunate excision with capitohamate fusion in the treatment of stage IIIB and IIIC Kienböck's disease

2018 ◽  
Vol 52 (3) ◽  
pp. 211-215 ◽  
Author(s):  
Mesut Tahta ◽  
Cem Ozcan ◽  
Gurkan Yildiz ◽  
Izge Gunal ◽  
Muhittin Sener
Keyword(s):  
Stage Iiib ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

Proximal Row Carpectomy Versus Limited Wrist Arthrodesis for Advanced Kienböck’s Disease

1998 ◽  
Vol 23 (6) ◽  
pp. 741-745 ◽  
Author(s):  
R. NAKAMURA ◽  
E. HORII ◽  
K. WATANABE ◽  
E. NAKAO ◽  
H. KATO ◽  
...  
Keyword(s):  
Grip Strength ◽  
Wrist Pain ◽  
Wrist Flexion ◽  
Proximal Row Carpectomy ◽  
Wrist Arthrodesis ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Flexion Extension ◽  
Kienbock’S Disease

The outcomes in 20 patients with advanced Kienböck's disease treated by proximal row carpectomy (seven patients) or limited wrist arthrodesis (13 patients) were reviewed retrospectivey. Postoperatively, the results were more satisfactory in terms of wrist pain, the range of wrist flexion–extension, and grip strength following limited wrist arthrodesis than after proximal row carpectomy, although the differences were not statistically significant. We recommend scaphotrapeziotrapezoid arthrodesis in selected patients with advanced Kienböck's disease who have a fragmented lunate.

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.

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