Document Detail

X-ray evaluation of radial shortening for Kienböck's disease.
MedLine Citation:
PMID:  1613218     Owner:  NLM     Status:  MEDLINE    
The effect of inclination of the distal radius to subsequent lunate collapse is controversial. Therefore we evaluated the postoperative x-ray course of 10 patients with stage II, III, or IV Kienböck's disease who were treated only with radial shortening and followed up for an average of 25 months. The three patients who became worse as determined by x-ray evaluation had lunate fossa inclinations of less than 12 degrees after surgery. The four patients who improved had lunate fossa inclinations greater than 12 degrees. Appropriate radial shortening with adjunct wedge osteotomy to increase lunate fossa inclination may prevent further lunate collapse.
K Matsushita; J C Firrell; T M Tsai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  17     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-07-30     Completed Date:  1992-07-30     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  450-5     Citation Subset:  IM    
Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, Ky 40202.
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MeSH Terms
Follow-Up Studies
Osteochondritis / physiopathology,  radiography*,  surgery*
Postoperative Care*
Radius / surgery
Range of Motion, Articular

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

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