Post-traumatic osteonecrosis of the lunate after fracture of the distal radius

Nakanishi, Akito; Yajima, Hiroshi; Kisanuki, Osamu

doi:10.3109/2000656x.2013.812763

Cited by 5 publications

(6 citation statements)

References 8 publications

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“…This is especially concerning for individuals with predisposing factors for Kienböck disease. 3 4 5 6 7 8 9…”

Section: Resultsmentioning

confidence: 99%

“…The postoperative radiographs revealed a decrease in radial inclination and a positive ulnar variance. 6…”

Section: Resultsmentioning

confidence: 99%

“…This is especially concerning for individuals with predisposing factors for Kienböck disease. [3][4][5][6][7][8][9] Ogawa and Asakawa described two patients with Kienböck disease whose symptoms deteriorated subsequent to sustaining a fracture of the distal radius. The first patient, diagnosed with Kienböck disease 5 years before, presented with a displaced distal radius fracture.…”

Section: Altered Wrist Measurementsmentioning

confidence: 99%

“…The postoperative radiographs revealed a decrease in radial inclination and a positive ulnar variance. 6 Afshar et al observed the onset of Kienböck disease in a 66-year-old male patient 18 months after sustaining a distal ulnar fracture. A 3-mm negative ulnar variance developed in the patient after distal ulnar fracture union.…”

Section: Altered Wrist Measurementsmentioning

confidence: 99%

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Kienböck Disease following a Single Wrist Traumatic Incident: A Scoping Review

Afshar,

Tabrizi,

Shariyate

2024

J Wrist Surg

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The incidence of Kienböck disease after a single wrist traumatic incident is rare but has been reported by several authors. Although most evidence consists of case reports and case series, two possible concerns have been suggested. First, a traumatic alteration of the wrist anatomy and measurements increase stresses on the lunate. These changes mostly follow fractures around the wrist and can be regarded as acquired risk factors that contribute to the development of Kienböck disease. Second, some wrist injuries may tear ligaments around the lunate and damage the accompanied blood vessels; so, compromising the circulation to the lunate. Surgeons should be aware of the development of Kienböck disease following a single wrist trauma to enable early diagnosis and management to improve outcomes. Level of evidence Etiology IV.

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“…This is especially concerning for individuals with predisposing factors for Kienböck disease. 3 4 5 6 7 8 9…”

Section: Resultsmentioning

confidence: 99%

“…The postoperative radiographs revealed a decrease in radial inclination and a positive ulnar variance. 6…”

Section: Resultsmentioning

confidence: 99%

Section: Altered Wrist Measurementsmentioning

confidence: 99%

Section: Altered Wrist Measurementsmentioning

confidence: 99%

See 2 more Smart Citations

Kienböck Disease following a Single Wrist Traumatic Incident: A Scoping Review

Afshar,

Tabrizi,

Shariyate

2024

J Wrist Surg

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“…A single traumatic event such as a translunate fracture rarely leads to avascular necrosis. 20,21 A fracture of the distal lunate can occur due to the "nutcracker effect" of the capitate on the lunate (►Figs. 6A, B and 7A, B).…”

mentioning

confidence: 99%

The Etiology and Pathogenesis of Kienböck Disease

et al. 2016

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Kienböck disease is a condition that typically occurs in the "at-risk" patient, in the "atrisk" aspect of the proximal condyle of the "at-risk" lunate. In the active male, repetitive loading causes the stress fracture that commences in the single layer proximal subchondral bone plate. The lunate fracture commences at the point the lunate cantilevers over the edge of the distal radius, and then takes on the shape of the radius. We postulate that the stress fracture violates the parallel veins of the venous subarticular plexus-leading to localized venous hypertension and subsequent ischemia and edema of the fatty marrow. The increased osseous compartment pressure further potentiates the venous obstruction, producing avascular necrosis. If the fracture remains localized, it can heal or settle into a stable configuration, so that the wrist remains functional. Fractures of the subchondral bone plate produce irregularity of the lunate articular surfaces and secondary "kissing lesions" of the lunate facet and capitate, and subsequent degeneration. The lunate collapses when the fracture is comminuted, or there is disruption of the spanning trabeculae or a coronal fracture. The secondary effect of the lunate collapse is proximal migration of the capitate between the volar and dorsal fragments, producing collapse of the entire central column. The proximal carpal row is now unstable, and is similar to scapholunate instability, where the capitate migrates between the scaphoid and lunate. The scaphoid is forced into flexion by the trapezium, however, degeneration of the scaphoid and scaphoid facet only occurs in late disease or following failed surgery. In Kienböck disease, the secondary effects of the collapsing lunate are a "compromised" wrist, including: deformity and collapse of the central column, degeneration of the central column (perilunate) articulations, proximal row instability (i.e., between the central and radial columns), and degeneration of the radial column.

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Existing or Worsening Symptoms of Kienböck’s Disease after Distal Radius Fracture: Two Case Reports

Ogawa

Asakawa

2018

J Hand Surg Asian-Pac Vol

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We report two rare cases of existing or worsening symptoms due to Kienböck’s disease after distal radius fracture (DRF). During examination, radiographs show changes in the lunate bone; there was persistent wrist pain after treatment for DRF. In each case, surgeries were performed: A combined therapy (bone marrow transfusion, bone peg graft, external fixation, and low intensity pulsed ultrasound) for one, as well as carpal coalition for another. The etiology of these case presentations suggest that a compression fracture of the lunate due to a DRF resulted in softening and sclerosis.

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Post-traumatic osteonecrosis of the lunate after fracture of the distal radius

Cited by 5 publications

References 8 publications

Kienböck Disease following a Single Wrist Traumatic Incident: A Scoping Review

Kienböck Disease following a Single Wrist Traumatic Incident: A Scoping Review

The Etiology and Pathogenesis of Kienböck Disease

Existing or Worsening Symptoms of Kienböck’s Disease after Distal Radius Fracture: Two Case Reports

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