ROLE OF CAPITATE SHORTENING IN ULNA MINUS VARIANCE KIENBÖCK'S DISEASE | ||
| Egyptian Journal of Orthopedic Research | ||
| Article 6, Volume 4, Issue 2, December 2023, Pages 79-84 PDF (211.31 K) | ||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||
| DOI: 10.21608/ejor.2023.346405 | ||
| Authors | ||
| Yasser Osman; Al Ameer Farrag; Hassan Noaman; Ahmed Sleem | ||
| Orthopedic and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt | ||
| Abstract | ||
| Background: Kienbock's disease is characterised by lunate avascular osteonecrosis. The genesis of this illness is still unclear and a subject of controversy. This study aimed assesses the role of capitate shortening in ulna minus variation in the treatment of Kienböck's disease. Methods: This descriptive study was performed on 20 cases aged from 18 to 65 years old, both sexes, suffering from wrist pain, stages II and III and ulna minus. All cases underwent to history taking, clinical evaluation, routine laboratory investigations and radiological evaluation [Wrist Plain X-ray (AP/lateral), computed Tomography and MRI]. Results: VAS score and DASH score were significantly improved postoperative than preoperative (P value <0.001). There was no significant relationship of the function status with occupation and Lichtman stage. Conclusion: During an average 18-month follow-up, patients diagnosed with ulna minus variance Kienbock's disease experienced notable improvements in wrist function and pain reduction with capitate shortening osteotomy as determined by VAS, range of motion, grasp strength, Cooney score, and DASH evaluations. There was no significant relationship of the function status with occupation and Lichtman stage. | ||
| Keywords | ||
| Capitate Shortening; Ulna Minus Variance; Kienböck's Disease | ||
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