Distal radius definitive epiphysiodesis for management of Kienböcks disease in skeletally immature patients

Alberto Jorge-Mora, Juan Abelardo Augusto Pretell, Rafael Marti-Ciruelos, Eva Maria Andres-Esteban, Angel Curto De La Mano

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose: Kienböck's disease is an unusual pathology with unknown aetiology within the pediatric population. Several treatment options have been described in the literature; however, there are neither large series nor homogeneous studies that have clarified which treatment is best. The aim of this study was to describe five cases in which definitive distal radius epiphysiodesis was performed as an alternative method to the classic distal radius shortening osteotomy in skeletally immature patients with Kienböck's disease. Methods: The clinical charts and radiographs of four patients (five wrists) diagnosed as having Kienböck's disease and treated by definitive distal radius epiphysiodesis were reviewed. Results: All patients were symptomatically free with full range of motion at 4.25 months (range, three to six months) after surgery. In all cases, shortening of the distal radius was achieved (p∈=∈0.032). Conclusions: This new technique is a simple, effective, and minimally invasive procedure with low morbidity and good clinical and radiological outcomes.

Original languageEnglish (US)
Pages (from-to)2101-2105
Number of pages5
JournalInternational Orthopaedics
Volume36
Issue number10
DOIs
StatePublished - Oct 2012
Externally publishedYes

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Disease Management
Osteotomy
Articular Range of Motion
Wrist
Pediatrics
Pathology
Morbidity
Therapeutics
Population

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Distal radius definitive epiphysiodesis for management of Kienböcks disease in skeletally immature patients. / Jorge-Mora, Alberto; Pretell, Juan Abelardo Augusto; Marti-Ciruelos, Rafael; Andres-Esteban, Eva Maria; Curto De La Mano, Angel.

In: International Orthopaedics, Vol. 36, No. 10, 10.2012, p. 2101-2105.

Research output: Contribution to journalArticle

Jorge-Mora, Alberto ; Pretell, Juan Abelardo Augusto ; Marti-Ciruelos, Rafael ; Andres-Esteban, Eva Maria ; Curto De La Mano, Angel. / Distal radius definitive epiphysiodesis for management of Kienböcks disease in skeletally immature patients. In: International Orthopaedics. 2012 ; Vol. 36, No. 10. pp. 2101-2105.
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AU - Andres-Esteban, Eva Maria

AU - Curto De La Mano, Angel

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AB - Purpose: Kienböck's disease is an unusual pathology with unknown aetiology within the pediatric population. Several treatment options have been described in the literature; however, there are neither large series nor homogeneous studies that have clarified which treatment is best. The aim of this study was to describe five cases in which definitive distal radius epiphysiodesis was performed as an alternative method to the classic distal radius shortening osteotomy in skeletally immature patients with Kienböck's disease. Methods: The clinical charts and radiographs of four patients (five wrists) diagnosed as having Kienböck's disease and treated by definitive distal radius epiphysiodesis were reviewed. Results: All patients were symptomatically free with full range of motion at 4.25 months (range, three to six months) after surgery. In all cases, shortening of the distal radius was achieved (p∈=∈0.032). Conclusions: This new technique is a simple, effective, and minimally invasive procedure with low morbidity and good clinical and radiological outcomes.

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