Morbus Kienböck

Horch, Raymund E.; Unglaub, Frank; Dragu, Adrian; Kneser, Ulrich; Bach, Alexander D.

doi:10.1007/s00104-008-1468-z

Cited by 13 publications

(2 citation statements)

References 62 publications

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“…Long-term immobilization treatment in Kienböck disease was described [13]. In the literature, there is a found rate of wrist arthrosis in 82.0% of 46 conservatively followedup patients with a minimum follow-up of 5 years, but they stated that only 25.0% of the patients had serious pain complaints [13,14].…”

Section: Introductionmentioning

confidence: 99%

Functional and clinical results of arthroscopic forage treatment in stage 1 Kienböch s patients

Atilgan,

Demiryürek,

Çolak

et al. 2024

j-ebr

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To compare the functional and clinical results of early stage 1 Kienböch patients in whom we performed arthroscopic forage and syneviectomy. Methods: Adult patients who applied to Necmettin Erbakan University Meram Medical Faculty Orthopedics and Traumatology outpatient clinic between 01 June 2021 and 01 June 2022 were diagnosed with Kienböch stage 1 and were to be planned for arthroscopic forage treatment were included in the study. Patients who smoked, underwent other treatment protocols and received systemic steroid treatment were excluded from the study. Quick Arm Hand and Shoulder Problems (QuickDASH) questionnaire and visual analogue Pain Scale (VAS) score were applied to the patients before and at 3 months, 6 months, 9 months and 12 months after surgery. During the clinical examination, postoperative total joint range of motion (ROM) was measured and the normal side was examined. In addition, grip and pinch strength measurements were examined. Radiological criteria such as carpal height ratio, subchondral cyst and osteophyte formation were evaluated at each control. Results: 22 patients applied to our clinic and 13 of them accepted the surgical procedure. 7 of these patients were men and 6 were women. Their average age was 27.8 years. The average follow-up period of these patients was 12 months. When the patients were examined after 12 months of follow-up, it was seen that the postsurgical vas score was significantly lower than the pre-surgical vas score (p<0.001). QuickDASH score and passive wrist movements improved significantly at postoperative follow-up. Grip strength increased significantly. Lichtman staging remained the same in 85% of patients. Conclusions: In stage 1 Kienböch patients, arthroscopic forage and wrist synovectomy are performed, minimizing the functional losses of the patients and providing a rapid decrease in pain levels. As a consequence, patients return to social and business life early and with minimal loss.

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Section: Introductionmentioning

confidence: 99%

Functional and clinical results of arthroscopic forage treatment in stage 1 Kienböch s patients

Atilgan,

Demiryürek,

Çolak

et al. 2024

j-ebr

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“…Kienböck's disease is an idiopathic osteonecrosis of the lunate bone, with subsequent stages of fragmentation and collapse that lead to progressive pain and decreased wrist range of motion. The disease is well-described in adults and mainly affects the dominant hand of male patients between the ages of 20 and 40 years [1]. Different treatment strategies have been investigated based on the disease stage described by Lichtman et al [2].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Kienböck’s Disease in an 11-Year-Old Boy: A Case Report

Al-Zoubi,

AlRousan,

Mestarihi

et al. 2023

Cureus

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Kienböck's disease is a rare condition in the pediatric age group, with little agreement on its natural history and the best treatment option. Typically, these patients present with vague wrist pain and a variable degree of joint motion restriction. Diagnosis is mainly based on clinical suspicion and MRI findings, as radiographs do not show significant changes in the early stages of the disease. Prognosis is better in children than in adults due to the good healing capacity in this age group. This study will report on an 11-year-old boy diagnosed with Kienböck's disease who underwent surgical treatment to temporarily offload the diseased lunate. Clinical and radiographic recovery was observed at the six-month follow-up.

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