The 100 Top-Cited Articles about Kienböck’s Disease: A Bibliometric Analysis

Abstract Introduction The aim of this study was to analyze the 100 top-cited articles about Kienböck’s disease and their features. Materials and Methods A search through the Elsevier, Scopus database journal articles about Kienböck’s disease yielded 1,025 results. The 100 top-cited articles were identified and filtered again to exclude self-citations. The 100 top-cited articles without self-citations were analyzed for the number of citation, citation density, publishing journal, language, authorship, and geographic origin. The abstracts of the articles were obtained to review and determine the types of articles and levels of evidence. Results The mean of the 100 top-cited articles’ absolute number of citations was 63.3 ± 34 (range: 23–199). Citation densities ranged from 1 to 8. A total of 97 (97%) articles were written in English. The leading countries were the United States with 50 (50%) articles followed by Japan with 16 (16%) articles. Forty (40%) articles have been published in the Journal of Hand Surgery American volume. Among the 100 top-cited articles, nine articles were devoted to basic science and 91 articles have dealt with clinical science. There were three articles with level II, 24 articles with level III, 46 articles with level IV, and 18 articles with level V of evidences. Conclusion The current study presents an insight to the classic articles about Kienböck’s disease. The 100 top-cited articles have established a foundation that the science on Kienböck’s disease has been elaborated. The current study is likely helpful for educational purposes and further research about Kienböck’s disease. Level of Evidence Economic and decision analysis/Level IV.

Wrist Swelling in Kienböck's Disease

Journal of Wrist Surgery ◽

10.1055/s-0038-1661420 ◽

2018 ◽

Vol 07 (05) ◽

pp. 389-393

Author(s):

Hirofusa Ichinose ◽

Etsuhiro Nakao ◽

Takaaki Shinohara ◽

Masahiro Tatebe ◽

Harumoto Yamada ◽

...

Keyword(s):

Histological Examination ◽

Resonance Imaging ◽

Synovial Proliferation ◽

Level Of Evidence ◽

Kienböck’S Disease ◽

Capsular Ligament ◽

Kienböck's Disease ◽

Magnetic Resonance Imaging Mri ◽

Common Manifestation ◽

Background and Purpose Wrist swelling is a frequent clinical manifestation of Kienböck's disease, but no study has reported the site and pathology of wrist swelling in this disease. The aim of this study is to elucidate the site and pathology of wrist swelling in Kienböck's disease. Materials and Methods Dorsal and palmar soft tissue thicknesses of the wrist were measured on standard lateral radiographs of the wrist in 26 patients with Kienböck's disease and 30 subjects without intra-articular lesion. Axial magnetic resonance imaging (MRI) views were examined to detect the site of swelling. The dorsal capsular ligament in three patients with Kienböck's disease underwent histological examination. Results Radiographic study confirmed dorsal wrist swelling in 24 of 26 (92%) patients examined compared with the contralateral unaffected wrists. MRI demonstrated thickening of the dorsal capsular ligament and extensor layer with synovial proliferation. Histological examination revealed nonspecific chronic inflammation. Conclusion Dorsal wrist swelling in Kienböck's disease is a common manifestation and constitutes a part of pathology of Kienböck's disease, although further study is required to clarify the relation between wrist swelling and etiology of Kienböck's disease. Level of Evidence This is a Level III study.

The outcome of treatment of Kienbock's disease stage III by excisional arthroplasty and palmaris longus spacer

International Journal of Science and Research Archive ◽

10.30574/ijsra.2021.2.2.0074 ◽

2021 ◽

Vol 2 (2) ◽

pp. 158-166

Author(s):

Al Bayati MA ◽

Muttar AY ◽

Al-Khishali TJ ◽

Al Bayati MM ◽

Hameed BM

Keyword(s):

Case Series ◽

Hospital Environment ◽

Stage Iii ◽

Disease Stage ◽

Dash Score ◽

Level Of Evidence ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Palmaris Longus ◽

Purpose: To present the outcomes of treatment of Kienbock's Disease (KD) stage III, by excisional arthroplasty of lunate with Palmaris Longus (PL) tendon as a spacer. Methods: Twenty-one patients were diagnosed with KD stage III, 14 females, and 7 males. They were treated by excision of the lunate plus PL tendon ball as a spacer. Mean follow up period was 38 months (24-60). Pre- and post-operative treatment assessment were by recording the clinical examination data, the investigation by radiological imaging (plain and CT scan), MRI, and scoring of Disabilities of Arm, Shoulder and Hand (DASH) system. Results: Nineteen patients improved clinically to a great extent, by relieving symptoms, a better range of movement, functional satisfaction and no conspicuous Carpal Height Ratio (CHR) change. Mean DASH score improved from 38.5 to 6.8. Two patients had less favorable clinical outcome, yet, they were not interested to have further operations. Conclusions: Treatment of KD stage III by excisional arthroplasty plus palmaris longus tendon spacer is a low demand operation, which can be performed in a moderate hospital environment, and can accomplish good satisfactory results comparable to other more sophisticated, costly procedures. Type of study/Level of evidence: Prospective case series, level IV.

ARTHROSCOPIC ASSESSMENT OF THE WRIST WITH KIENBÖCK’S DISEASE

Acta Ortopédica Brasileira ◽

10.1590/1413-785220182605208269 ◽

2018 ◽

Vol 26 (5) ◽

pp. 286-289

Author(s):

Guilherme Augusto Silva Amariz ◽

Maria Virginia Arranz Abreu ◽

Bruno Azevedo Veronesi ◽

Marcelo Rosa de Rezende

Keyword(s):

Carpal Bones ◽

Wrist Arthroscopy ◽

X Rays ◽

Level Of Evidence ◽

Surgical Decision ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Surgical Decision Making ◽

Lunate Necrosis ◽

ABSTRACT Objective: Treatment of Kienböck's disease is challenging and the variability of results, despite the surgical technique, shows that there must be other aspects that can influence outcomes. The objective of this study is determine, through arthroscopic approach, the pattern of impairment of the carpal bones in Lichtman stage III patients. Method: Wrist arthroscopy was performed in patients with symptoms and evidence of lunate necrosis on x-rays, with signs of 3A and 3B stages. The Outerbridge classification was used to grade the articular status of the carpal bones. Results: Fifteen patients with stage 3 disease were assessed, five of whom were staged as type 3A and ten as 3B using the Lichtman stages. According to the Outerbridge classification, the lunate sulcus was the most affected with means of 2.8 at 3A and 2.9 at 3B. Other areas were significantly less affected with means of 1.1 and 1.3, respectively. Conclusion: Arthroscopic assessment of the wrist could aid in surgical decision making, offering more details on cartilage status in stage 3 Kienböck's disease. Level of Evidence III, Study of nonconsecutive patients, without consistently applied reference “gold” standard.

Kinematics of the wrist in Kienböck’s disease: a four-dimensional computed tomography study

10.1177/1753193420987790 ◽

2021 ◽

pp. 175319342098779

Author(s):

Simon B. M. MacLean ◽

Gregory I. Bain

Keyword(s):

Computed Tomography ◽

Ct Scanning ◽

Ulnar Styloid ◽

Level Of Evidence ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Internal Instability ◽

Fracture Types ◽

Midcarpal Joint ◽

We studied the kinematics of 20 wrists affected by Kienböck’s disease using four-dimensional computed tomography (4-D-CT) scanning. Degenerative changes progressed from the lunate facet to the scaphoid fossa at the radiocarpal articulation, then involved the midcarpal joint. Lunate fracture types included coronal (14/20), sagittal (10/20) and ligament attachment-types (8/20). Findings specific to dynamic scanning included the nutcracker phenomenon (12/20), anterior radiolunate impingement (7/20), internal instability of the lunate (6/20), ulnar styloid triquetral impingement (3/20) and dynamic proximal row instability (2/20). Ulnocarpal translocation was found in 4/20 cases. Dynamic 4-D-CT has helped us to identify a subset of pathology in Kienböck’s disease on assessment of static imaging. Better understanding of these phenomena can improve our understanding of symptoms and may help direct surgical treatment. Level of evidence: IV

Bibliometric Analysis of the Top 100 Most Cited Articles on Wrist Arthroscopy

10.21203/rs.3.rs-367559/v1 ◽

2021 ◽

Author(s):

Nevzat Gönder ◽

Volkan Kılınçoğlu

Keyword(s):

Hand Surgery ◽

The United States ◽

Diagnosis And Treatment ◽

Wrist Arthroscopy ◽

Level Of Evidence ◽

The Past ◽

Triangular Fibrocartilage ◽

Number Of Publications ◽

Randomised Controlled ◽

Number Of Citations

Abstract Background: Over the past few decades, more articles have been published about wrist arthroscopy. The purpose of this study was to identify and analyze the 100 most cited articles about wrist arthroscopy.Methods: The 100 most cited articles were analyzed using the wrist arthroscopy as a keyword on the Web of Science database. Original articles, reviews, clinical trials, and cadaveric studies were included in the study. We recorded and analyzed the following information: Article title, first author, year of publication, journal of publication, the total number of citations, level of evidence, article language, country, institution, and the main topic of study. Results: The number of citations ranged from 35 to 180 (mean, 64.74). The total number of citations was 6,474. Among the articles examined, the most prolific country was the United States of America (USA). The Journal of Hand Surgery- American Volume was the journal with the most number of publications and the most cited articles. The main topics that were most analyzed and underlined were the diagnostic comparison of Magnetic resonanas imaging and arthroscopy and the diagnosis and treatment of triangular fibrocartilage complex.Conclusions: As a result, wrist arthroscopy continues to develop, and it is a subject that is open for new studies. More comprehensive and up-to-date randomised controlled studies comparing the benefit of wrist arthroscopy or open surgery for wrist pathologies will demonstrate the importance of arthroscopy in the diagnosis and treatment of problems related to this topic.

Capitate osteotomy and transposition for type III Kienböck’s disease

10.1177/1753193418780552 ◽

2018 ◽

Vol 43 (7) ◽

pp. 708-711 ◽

Cited By ~ 3

Author(s):

Jianbing Li ◽

Zhijun Pan ◽

Yunzhen Zhao ◽

Xinlei Hu ◽

Xiang Zhao

Keyword(s):

Stage Iii ◽

Level Of Evidence ◽

Unaffected Side ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Iliac Bone Graft ◽

The Mean ◽

The One ◽

Autologous Iliac Bone Graft ◽

The aim of this study was to assess the results of capitate osteotomy and transposition for stage III Kienböck’s disease. Capitate osteotomy and transposition combined with an autologous iliac bone graft was carried out in 17 patients. At the final follow-up for a mean of 68 months (range 16–127 months) after surgery, the mean visual analogue scale score was 0.6 (range 0–5). The mean Wrightington wrist function score was 8. The mean grip strength was 79% of the unaffected side. There were 16 satisfactory results. The one unsatisfactory result occurred in a woman who developed a nonunion of the osteotomy. There were no other complications of the surgery. Our results show that capitate osteotomy and transposition is a simple and reliable method for the management of stage III Kienböck’s disease. Level of evidence: IV

Radial shortening, bone grafting and vascular pedicle implantation versus radial shortening alone in Kienböck’s disease

10.1177/1753193421993730 ◽

2021 ◽

pp. 175319342199373

Author(s):

Elsayed Said ◽

Ahmad Addosooki ◽

Yasser Assaghir ◽

Ahmed Ahmed ◽

Hamdy Tammam

Keyword(s):

Bone Grafting ◽

Vascular Pedicle ◽

Level Of Evidence ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Group I ◽

Group Ii ◽

We prospectively compared outcomes of two surgical procedures for Stage II and IIIa Kienböck’s disease with negative ulnar variance. Group I (13 wrists) was treated with radial shortening alone, and Group II (14 wrists) with combined radial shortening, bone grafting and implantation of a vascular pedicle. At follow-up 3 to 7 years (mean 4.5) after operation, scores by the Quick version of the Disability of Arm, Shoulder and Hand questionnaire and scores for pain and grip strength were significantly better in Group II, but the differences were rather small. On MRI all patients in Group II had revascularization, but 11 patients in Group I had not. We conclude that combining radial shortening with the revascularization procedure improved revascularization. Clinically, both treatments were efficient, and the additional bone grafting and vascular pedicle insertion did not greatly improve function, although statistically there were differences in several follow-up variables. This study also could not identify the independent role of the three procedures (drilling, grafting and artery insertion) in Group II, because decompression or bone grafting alone may be effective. Level of evidence: II

Functional and radiological results of partial capitate shortening osteotomy in the treatment of Kienböck’s disease

10.1177/1753193420905991 ◽

2020 ◽

Vol 45 (4) ◽

pp. 403-407 ◽

Cited By ~ 1

Author(s):

Abdurrahman Murat Yıldırım ◽

Ahmet Piskin ◽

Bedri Karaismailoglu ◽

Muhittin Sener

Keyword(s):

Return To Work ◽

Level Of Evidence ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Pain Scores ◽

Radiological Results ◽

Shortening Osteotomy ◽

The Mean ◽

Functional And Radiological Results ◽

This study assessed the functional and radiological results of partial capitate shortening osteotomy in the treatment of Lichtman stage 2 and 3A Kienböck's disease. Nineteen patients who underwent partial capitate shortening osteotomy between 2014 and 2017 were included. Functional and radiological parameters were assessed both pre- and postoperatively. The mean age was 35 years and the mean follow-up was 16 months. Pain scores, wrist range of motion, hand and finger strength, carpal height ratio and lunate height were significantly improved compared with their preoperative values. Sixteen patients were able to return to work. Ten of them had complete and six had partial revascularization. The mean time taken to return to work was 62 days. No vascularity was achieved in three patients who were unable to return to work. Partial capitate shortening osteotomy is effective in the treatment of stage 2 and 3A Kienböck's disease with successful results both functionally and radiologically. Level of evidence: IV

The most influential papers in unicompartmental knee arthroplasty

Knee Surgery and Related Research ◽

10.1186/s43019-020-00072-1 ◽

2020 ◽

Vol 32 (1) ◽

Author(s):

Lukas A. Holzer ◽

Gerold Holzer

Keyword(s):

Knee Arthroplasty ◽

Unicompartmental Knee Arthroplasty ◽

Geographic Origin ◽

Absolute Number ◽

Osteoarthritis Of The Knee ◽

Journal Title ◽

Level Of Evidence ◽

Unicompartmental Knee ◽

Publication Number ◽

Number Of Citations

Abstract Purpose Unicompartmental knee arthroplasty (UKA) is a treatment option for anteromedial osteoarthritis of the knee. The number of UKA has been increasing constantly worldwide in recent decades. The aim of this study was to determine the most frequently cited scientific articles addressing this subject and to establish a ranking of the 50 most influential papers. Methods The 50 most cited articles related to UKA were searched in Web of Science® (Clarivate Analytics, Penn., USA) by the use of defined search terms. All types of scientific papers with reference to this topic were ranked according to the absolute number of citations and analyzed for the following characteristics: journal title, year of publication, number of citations, citation density, geographic origin, article type, and level of evidence. Results The 50 most cited articles had up to 453 citations. Most papers were published in the Journal of Bone and Joint Surgery (British volume). More than half of the articles were published in the 2000s and 2010s (n = 30). Ten countries contributed to the top 50 list, with most contributions from the UK (n = 17). Most articles could be attributed to the category of Clinical Science (n = 33), and most reported level IV studies. Conclusion Most of the frequently cited articles in UKA are clinical studies that have a low level of evidence. Few basic scientific studies could be identified, which suggests that most product development is done by commercial companies.

Adolescent Kienböck's Disease: A Comparison between Lunate Offloading and Revascularization Procedures

Journal of Wrist Surgery ◽

10.1055/s-0040-1701511 ◽

2020 ◽

Vol 09 (03) ◽

pp. 197-202 ◽

Cited By ~ 1

Author(s):

Joshua A. Gillis ◽

Joseph S. Khouri ◽

Steven L. Moran

Keyword(s):

Grip Strength ◽

Surgical Management ◽

Conservative Management ◽

Retrospective Chart Review ◽

Level Of Evidence ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Adolescent Patients ◽

Revascularization Procedures ◽

Abstract Objective To evaluate the outcomes and complication rate of surgical management in adolescent patients with Kienböck's disease and compare lunate offloading and revascularization procedures. Methods We performed a retrospective chart review to evaluate adolescent patients with Kienböck's disease between 1990 and 2016 who were surgically managed. Charts were reviewed for demographic information, presence of trauma, range of motion, grip strength, and radiographic parameters pre- and postoperative. Results We assessed 21 wrists in 20 patients. All had failed conservative management and required surgery. Seven patients underwent lunate offloading procedures, most commonly radial-shortening osteotomy, whereas 13 patients had an attempt at revascularization. All patients had either minimal or no pain at a clinical mean clinical follow-up of 63.4 months. Postoperatively, grip strength and radial deviation improved, with no difference between the two groups. Those that underwent joint offloading procedures had less ulnar variance. Eight of 11 patients with a postoperative MRI (magnetic resonance imaging) had evidence of lunate revascularization after a revascularization procedure. Conclusion Surgical management of Kienböck's disease in adolescent patients can yield satisfactory outcomes in those that fail conservative management. Level of Evidence/Type of study This is a Level IV, therapeutic study.