Doença de Kienböck

tratamento com osteotomia de encurtamento do rádio

Authors

  • Cláudio Roberto Martins Xavier Hospital do Servidor Estadual de São Paulo
  • Humberto Ferreira de Castro Filho Hospital do Servidor Estadual de São Paulo
  • Fernando Luis de Oliveira Aurich Hospital do Servidor Estadual de São Paulo
  • Roberto Della Torre dos Santos Hospital do Servidor Estadual de São Paulo
  • Julio Cezar Ferreira Neto Hospital do Servidor Estadual de São Paulo

Keywords:

osteonecrosis, lunate, osteotomy, radius

Abstract

Kienböck’s disease is an avascular necrosis of the lunate bone. Its ethiology is not completely understood. Theories of vascular abnormality and mechanical imbalance of the joint stand out as the most accepted causes. Several techniques are described as options for the surgical treatment of this pathology, including osteotomies. In this article, authors demonstrate the operative technique of simple osteotomy of shortening of the radius in the treatment of a case of Kienböck’s disease, as well as its postoperative results.

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Author Biographies

Cláudio Roberto Martins Xavier, Hospital do Servidor Estadual de São Paulo

Chefe do Grupo de Mão do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Humberto Ferreira de Castro Filho, Hospital do Servidor Estadual de São Paulo

Médico Residente (R3) em Ortopedia do Hospital do Servidor Público Estadual de São Paulo

Fernando Luis de Oliveira Aurich, Hospital do Servidor Estadual de São Paulo

Médico Assistente do Grupo de Mão do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

References

Beredjiklian PK. Kienböck’s disease. J Hand Surg Am. 2009 Jan;34(1):167-75. doi: 10.1016/j.jhsa.2008.10.012.

Ansari MT, Chouhan D, Gupta V, Jawed A. Kienböck’s disease: Where do we stand? J Clin Orthop Trauma. 2020 Jul-Aug;11(4):606-613. doi: 10.1016/j.jcot.2020.05.041. Epub 2020 Jun 9.

Luo J, Diao E. Kienböck’s disease: an approach to treatment. Hand Clin. 2006 Nov;22(4):465-73.

Schuind F, Eslami S, Ledoux P. Kienbock’s disease. J Bone Joint Surg Br. 2008 Feb;90(2):133-9.

Lichtman DM, Pientka WF 2nd, Bain GI. Kienböck Disease: A New Algorithm for the 21st Century. J Wrist Surg. 2017 Feb;6(1):2-10. doi: 10.1055/s-0036-1593734. Epub 2016 Oct

Erratum in: J Wrist Surg. 2017 Feb;6(1):e1-e2.

Nealey EM, Petscavage-Thomas JM, Chew FS, Allan CH, Ha AS. Radiologic Guide to Surgical Treatment of Kienbock’s Disease. Curr Probl Diagn Radiol. 2018 Mar-Apr;47(2):103-109. doi: 10.1067/j.cpradiol.2017.04.012. Epub 2017 Apr 25.

Bain GI, Yeo CJ, Morse LP. Kienböck Disease: Recent Advances in the Basic Science, Assessment and Treatment. Hand Surg. 2015 Oct;20(3):352-65.

Published

2021-03-20

How to Cite

1.
Xavier CRM, Castro Filho HF de, Aurich FL de O, Santos RDT dos, Ferreira Neto JC. Doença de Kienböck: tratamento com osteotomia de encurtamento do rádio. RTO [Internet]. 2021 Mar. 20 [cited 2024 Sep. 19];21(2):12-5. Available from: https://rto.emnuvens.com.br/revista/article/view/143

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Section

Artigos