PMID: 16518228Mar 7, 2006Paper

Radius decompression for treatment of kienböck disease

Techniques in Hand & Upper Extremity Surgery
A Illarramendi, Pablo De Carli

Abstract

The authors present a new concept in the treatment of Kienböck disease. They believe that the favorable outcome obtained with these different procedures (ie, either shortening of the radius or lengthening of the ulna) is due to the surgical decompression on the distal forearm. The procedure presented is called metaphyseal core decompression and it consists of curettage of the distal radius and ulna (the ulna has been excluded for the past 12 years) through a small cortical window. From 1976 to 2000, 48 patients were operated and retrospectively reviewed. Thirty-five were men and 13 were women, with an average age of 39 years (range, 18-64 years). The dominant limb was involved in 35 patients. All patients complained of pain and had decreased motion of the involved wrist. On radiographic examination, 4 had Lichtman stage 1, 17 had stage 2, and 25 had stage 3A. Patients who had stages 3B or 4 were excluded. Two patients had normal radiographic but MRI diagnostic for Kienböck disease, and were classified as stage 0. There were no postoperative complications reported and no patient had any additional procedure. The long-term follow-up reveals that metaphyseal core decompression produces results at least as good as other surgical pr...Continue Reading

References

Jan 1, 1986·The Journal of Hand Surgery·T TrumbleJ R Urbaniak
Jul 1, 1982·The Journal of Hand Surgery·D M LichtmanS F Gunther
Mar 1, 1993·The Journal of Hand Surgery·C H Jensen
Jan 1, 1996·The Journal of Hand Surgery·H K WatsonI V Ashmead D
Apr 3, 2001·The Journal of Hand Surgery·A A IllarramendiP De Carli

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Citations

Aug 29, 2007·International Orthopaedics·Taskin AltayCemil Kayali
Jan 16, 2014·Hand : Official Journal of the American Association for Hand Surgery·Brian M DerbyMichael W Neumeister
Sep 22, 2015·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Gregory Ian BainLevi Philip Morse
Jul 20, 2011·Ultrasound in Medicine & Biology·Cristina D'AgostinoValerio Sansone
Feb 1, 2005·The Journal of Hand Surgery·Jeffrey E Budoff, David M Lichtman
Jun 13, 2018·Techniques in Hand & Upper Extremity Surgery·Sergi Barrera-OchoaXavier Mir-Bullo
Jun 6, 2007·Techniques in Hand & Upper Extremity Surgery·Alejandro Badia, Prakash Khanchandani
Jan 25, 2020·Medicine·Yuji TomoriShinro Takai
May 18, 2012·The Cochrane Database of Systematic Reviews·Michael H BennettJason Wasiak
Aug 24, 2012·Techniques in Hand & Upper Extremity Surgery·Virak Tan, Mark Ronald Paiste
Aug 24, 2019·The Journal of Hand Surgery Asian-Pacific Volume·Christoph U Schulz
Feb 11, 2012·The Journal of Bone and Joint Surgery. British Volume·R Rodrigues-PintoA Oliveira
Mar 20, 2018·Der Unfallchirurg·K KalbT Pillukat
Apr 16, 2021·Hand : Official Journal of the American Association for Hand Surgery·Luke T NicholsonDavid S Ruch
May 5, 2010·The Journal of Hand Surgery·Lindsay Innes, Robert J Strauch

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