Changes in Wrist Joint Contact Area Following Radial Shortening Osteotomy for Kienböck Disease

Abstract We hypothesized that the contact area of the articular surface of the wrist joint could be evaluated using a custom-designed analytical program. The aim of the study was to compare the articular contact area of the wrist joint before and after radial shortening osteotomy for Kienböck disease. Nine wrists of 9 patients underwent radial shortening osteotomy for Kienböck disease. Computed tomography (CT) images of the wrist joint were reconstructed using a 3D reconstruction software package. Radioscaphoid and radiolunate joint contact areas and translation of the joint contact area from preoperative to postoperative were calculated using customized software. All patients reported a marked reduction of wrist pain at the 12-month follow-up. The contact area was altered following radial shortening, and the center of the contact area was translated radially and dorsally postoperatively. CT-based analysis revealed that the center of the contact area translated radially following radial shortening.

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Effect of Patellar Tendon Shortening on Tracking of the Patella

The American Journal of Sports Medicine ◽

10.1177/0363546505275346 ◽

2005 ◽

Vol 33 (10) ◽

pp. 1565-1574 ◽

Cited By ~ 12

Author(s):

Neil Upadhyay ◽

Samuel R. Vollans ◽

Bahaa B. Seedhom ◽

Roger W. Soames

Keyword(s):

Patellar Tendon ◽

Contact Area ◽

Knee Flexion ◽

Patellofemoral Joint ◽

Contact Stresses ◽

Contact Areas ◽

Before And After ◽

Joint Contact ◽

Joint Biomechanics ◽

Patellar Tendon Shortening

Background Although 10% postoperative patellar tendon shortening after bone–patellar tendon–bone autograft reconstruction of the anterior cruciate ligament has been reported, there are no published studies assessing the effect of shortening on patellofemoral joint biomechanics under physiological loading conditions. Purpose To investigate the influence of patellar tendon shortening on patellofemoral joint biomechanics. Study Design Controlled laboratory study. Methods The authors evaluated the patellofemoral contact area, the location of contact, and the patellofemoral joint reaction force and contact stresses in 7 cadaveric knees before and after 10% patellar tendon shortening. Shortening was achieved using a specially designed device. Experimental conditions simulating those occurring during level walking were employed: physiological quadriceps loads and corresponding angles of tibial rotation were applied at 15 °, 30 °, and 60 ° flexion of the knee. Patellofemoral joint contact areas were measured before and after shortening using the silicone oil–carbon black powder suspension squeeze technique. Results After patellar tendon shortening, patellofemoral joint contact areas were displaced proximally on the patellar surface and distally on the femoral surface. Although the contact area increased by 18% at 15 ° of knee flexion (P=. 04), no significant change occurred at 30 ° or 60 ° of knee flexion (P>. 05). Patellofemoral contact stress remained unchanged after patellar tendon shortening (P>. 05) at each flexion angle. Conclusion Our results suggest that a 10% shortening of the patellar tendon does not alter patellar contact stresses during locomotion. It is not clear whether apparent changes in contact location in all positions and contact area at 15 ° would have clinical consequences.

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Radial Shortening Osteotomy for Kienböck Disease: Minimum 10-Year Follow-Up

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2014.01.020 ◽

2014 ◽

Vol 39 (4) ◽

pp. 679-685 ◽

Cited By ~ 17

Author(s):

Yuichiro Matsui ◽

Tadanao Funakoshi ◽

Makoto Motomiya ◽

Atsushi Urita ◽

Michio Minami ◽

...

Keyword(s):

Shortening Osteotomy ◽

Kienböck Disease

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Long-Term Follow-up of Radial Shortening Osteotomy With Nakamura Effect for Kienböck Disease Stage II and IIIA

Hand ◽

10.1177/1558944716660555hx ◽

2016 ◽

Vol 11 (1_suppl) ◽

pp. 117S-118S

Author(s):

Juan Carlos Torrano ◽

Juan Pablo Torrano

Keyword(s):

Stage Ii ◽

Disease Stage ◽

Shortening Osteotomy ◽

Long Term Follow Up ◽

Kienböck Disease

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Long-Term Follow-up of Radial Shortening Osteotomy for Kienböck Disease

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.i.00315 ◽

2009 ◽

Vol 91 ◽

pp. 184-190 ◽

Cited By ~ 16

Author(s):

Masatoshi Takahara ◽

Tadayoshi Watanabe ◽

Hiroyuki Tsuchida ◽

Shinichi Yamahara ◽

Noriaki Kikuchi ◽

...

Keyword(s):

Shortening Osteotomy ◽

Long Term Follow Up ◽

Kienböck Disease

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Long-Term Follow-up of Radial Shortening Osteotomy for Kienböck Disease

Yearbook of Hand and Upper Limb Surgery ◽

10.1016/s1551-7977(09)79242-8 ◽

2009 ◽

Vol 2009 ◽

pp. 117-118

Author(s):

L.I. Katolik

Keyword(s):

Shortening Osteotomy ◽

Long Term Follow Up ◽

Kienböck Disease

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Long-Term Follow-up of Radial Shortening Osteotomy for Kienböck Disease

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.g.00421 ◽

2008 ◽

Vol 90 (8) ◽

pp. 1705-1711 ◽

Cited By ~ 51

Author(s):

Tadayoshi Watanabe ◽

Masatoshi Takahara ◽

Hiroyuki Tsuchida ◽

Shinichi Yamahara ◽

Noriaki Kikuchi ◽

...

Keyword(s):

Shortening Osteotomy ◽

Long Term Follow Up ◽

Kienböck Disease

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Surgical Efficacy of Radial Shortening Osteotomy for Kienböck Disease: A 10-Year-Minimum Follow-Up Study

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2013.08.062 ◽

2013 ◽

Vol 38 (10) ◽

pp. e38

Author(s):

Yuichiro Matsui ◽

Tadanao Funakoshi ◽

Makoto Motomiya ◽

Michio Minami ◽

Akio Minami ◽

...

Keyword(s):

Follow Up Study ◽

Shortening Osteotomy ◽

Kienböck Disease

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Three-Dimensional Joint Kinematics in a Canine Elbow Joint with Medial Coronoid Disease before and after Bi-Oblique Dynamic Proximal Ulnar Osteotomy

VCOT Open ◽

10.1055/s-0039-1698440 ◽

2019 ◽

Vol 02 (02) ◽

pp. e44-e49

Author(s):

Thomas Rohwedder ◽

Pia Rebentrost ◽

Peter Böttcher

Keyword(s):

Standard Deviation ◽

Contact Area ◽

Elbow Joint ◽

Three Dimensional ◽

Joint Kinematics ◽

Coronoid Process ◽

Rotational Instability ◽

Ulnar Osteotomy ◽

Before And After ◽

Joint Contact

Abstract Objective The aim of this study was to report the humeroulnar joint kinematics in a dog with medial coronoid process disease (MCPD) before and after dynamic proximal ulnar osteotomy (DPUO). Study Design A 15-month-old female Labrador Retriever with advanced MCPD was treated by DPUO and fragment removal. Bi-planar fluoroscopic kinematography of the affected joint was performed before and 12 weeks after DPUO along with computed tomography. Static axial radioulnar incongruence (sRUI), dynamic relative proximodistal radioulnar motion (dynamic RUI), axial humeroulnar rotation, as well as humeroulnar joint contact at the medial coronoid process (MCP) were calculated. Results Static axial radioulnar incongruence was reduced from 2.3 to 1.5 mm after DPUO but dynamic RUI remained unchanged (0.2 vs. 0.3 mm). Mean humeroulnar rotational amplitude increased from 2.6° (standard deviation 0.4) to 4.5° (standard deviation 2.0). Joint contact area at the MCP became substantially increased as well as broadly distributed among the MCP following DPUO (52.5 vs. 63.0%; p = 0.0012). Conclusion Dynamic proximal ulnar osteotomy failed to restore the radioulnar congruence and increased the humeroulnar rotational instability. No effect was observed on dynamic RUI. Nevertheless, joint contact area at the MCP was increased and became more homogeneously distributed, which might explain the beneficial effect of clinical outcome in this case.

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