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J Wrist Surg 2018; 07(05): 389-393
DOI: 10.1055/s-0038-1661420
Scientific Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Wrist Swelling in Kienböck's Disease

Hirofusa Ichinose
1   Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan
,
Ryogo Nakamura
2   Nagoya Hand Center, Chunichi Hospital, Ngoya, Japan
,
Etsuhiro Nakao
2   Nagoya Hand Center, Chunichi Hospital, Ngoya, Japan
,
Takaaki Shinohara
2   Nagoya Hand Center, Chunichi Hospital, Ngoya, Japan
,
Masahiro Tatebe
3   Department of Hand Surgery, School of Medicine, Nagoya University, Nagoya, Japan
,
Harumoto Yamada
1   Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan
› Author Affiliations
Further Information

Publication History

13 December 2017

21 May 2018

Publication Date:
02 July 2018 (online)

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Abstract

Background and Purpose Wrist swelling is a frequent clinical manifestation of Kienböck's disease, but no study has reported the site and pathology of wrist swelling in this disease. The aim of this study is to elucidate the site and pathology of wrist swelling in Kienböck's disease.

Materials and Methods Dorsal and palmar soft tissue thicknesses of the wrist were measured on standard lateral radiographs of the wrist in 26 patients with Kienböck's disease and 30 subjects without intra-articular lesion. Axial magnetic resonance imaging (MRI) views were examined to detect the site of swelling. The dorsal capsular ligament in three patients with Kienböck's disease underwent histological examination.

Results Radiographic study confirmed dorsal wrist swelling in 24 of 26 (92%) patients examined compared with the contralateral unaffected wrists. MRI demonstrated thickening of the dorsal capsular ligament and extensor layer with synovial proliferation. Histological examination revealed nonspecific chronic inflammation.

Conclusion Dorsal wrist swelling in Kienböck's disease is a common manifestation and constitutes a part of pathology of Kienböck's disease, although further study is required to clarify the relation between wrist swelling and etiology of Kienböck's disease.

Level of Evidence This is a Level III study.

Keywords

wrist swelling - Kienböck's disease - inflammation - capsulitis - synovitis

Note

This work was performed at the Nagoya Hand Center, Chunichi Hospital, Nagoya, Japan.


 

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