AN UNUSUAL SOURCE OF WRIST PAIN. KIENBÖCK'S DISEASE IN A WEIGHT LIFTER

Two patients with Kienböck’s disease who had been treated by radial shortening developed ulnar wrist pain post-operatively due to excessive radial shortening. In both cases, ulnar shortening was required to improve symptoms and function. Excessive radial shortening can cause ulnar wrist pain and compromise the improvement of grip strength and range of motion of the wrist.

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

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(98)80087-9 ◽

1998 ◽

Vol 23 (6) ◽

pp. 741-745 ◽

Cited By ~ 62

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.

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An Unusual Cause of Wrist Pain; Kienbock's Disease

Journal of Rheumatic Diseases ◽

10.4078/jrd.2013.20.1.68 ◽

2013 ◽

Vol 20 (1) ◽

pp. 68

Author(s):

Chang-Nam Son ◽

Seunghun Lee ◽

Kyung-Bin Joo ◽

Jae-Bum Jun

Keyword(s):

Wrist Pain ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Kienbock’S Disease

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Kienbock’s disease and juvenile idiopathic arthritis

McGill Journal of Medicine ◽

10.26443/mjm.v13i2.225 ◽

2020 ◽

Vol 13 (2) ◽

Author(s):

Nicholas M Desy ◽

Mitchell Bernstein ◽

Edward J Harvey ◽

Elizabeth Hazel

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Case Report ◽

Wrist Pain ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Rheumatologic Diseases ◽

First Case ◽

Kienbock’S Disease

Kienbock’s disease or osteonecrosis of the lunate is an uncommon cause of wrist pain. Though there have been several reports of cases in patients with various rheumatologic diseases, the precise etiology has currently not been established. We report a case of Kienbock’s disease that occurred in a patient with juvenile idiopathic arthritis. To our knowledge, this is the first case report with an association between these two conditions.

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Radial Shortening for Kienböck’s Disease: Factors Affecting the Operative Result

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681_90_90045-6 ◽

1990 ◽

Vol 15 (1) ◽

pp. 40-45

Author(s):

R. NAKAMURA ◽

T. IMAEDA ◽

T. MIURA

Keyword(s):

Clinical Stage ◽

Wrist Pain ◽

Ulnar Variance ◽

Factors Affecting ◽

Operative Results ◽

Kienböck’S Disease ◽

Kienböck's Disease ◽

Ulnar Wrist Pain ◽

Operative Result ◽

Kienbock’S Disease

The operative results of radial shortening in 23 patients with Kienböck’s disease were analysed on the basis of age, stage of disease, ulnar variance and the amount of radial shortening. The patient’s age was found to be the factor which affected the operative result most and unsatisfactory results were obtained in patients over 30 years old. However, neither the clinical stage nor ulnar variance affected the results significantly and the results in patients with ulnar zero or plus were no worse than in patients with ulnar minus. The risk of ulnar wrist pain was increased when the radius was shortened more than 4 mm in patients with positive or zero ulnar variance. This was an important cause of unsatisfactory operative results.

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