Document Detail


Ulnar lengthening and radial recession procedures for Kienböck's disease. Long-term clinical and radiographic follow-up.
MedLine Citation:
PMID:  8732395     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty patients with Kienböck's disease who had undergone a joint levelling procedure, were reviewed at a mean of 11 years following surgery. Clinical and radiological evaluation revealed good long-term results with all patients complaining of less pain than before surgery and with statistically significant increases in range of motion and grip strength. Radiologically a significant number of patients were found still to have lunate fractures and fragmentation. In addition, 13 patients have developed new bone formation in the lunate fossa, and 12 show osteoarthritic changes, particularly at the radioscaphoid interface. Radial shortening was felt to be superior to ulnar lengthening in that there were fewer problems with bone union.
Authors:
I A Trail; R L Linscheid; D E Quenzer; P A Scherer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  21     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-09-18     Completed Date:  1996-09-18     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  8403839     Medline TA:  J Hand Surg Br     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  169-76     Citation Subset:  IM    
Affiliation:
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bone Lengthening*
Carpal Bones / injuries
Fractures, Bone / surgery
Hand Strength
Humans
Osteochondritis / physiopathology,  radiography,  surgery*
Radius / radiography,  surgery*
Range of Motion, Articular
Retrospective Studies
Treatment Outcome
Ulna / radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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