Kienböck Disease in a 66-Year-Old Man after Distal Ulna Fracture

Abstract

Kienböck disease after fracture-dislocations around the wrist is a rare occurrence. This case report presents a case of a 66-year-old man who developed Kienböck disease 18 months after his distal ulnar fracture. The patient developed negative ulnar variance after union of the distal ulnar fracture. Nonsurgical treatment was not effective in relieving his pain. Radial shortening osteotomy was performed based on the negative ulnar variance that developed. One year postoperatively, visual analog scale improved to 0, grip strength improved to 25 kg, and flexion-extension arc improved to 150 degrees. The patient achieved satisfactory clinical outcomes. This is a therapeutic level IV study.

Keywords

elderly Kienböck disease - Kienböck disease - lunate - ulnar variance

Publikationsverlauf

Artikel online veröffentlicht:
07. April 2020

• References

• 1 Geutjens GG. Kienböck disease in an elderly patient. J Hand Surg Am 1995; 20 (01) 243-246
• 2 Jain AS. Kienböck disease of the wrist in an elderly female. Hand 1982; 14 (02) 182-184
• 3 Ribbans WJ. Kienböck disease: two unusual cases. J Hand Surg [Br] 1988; 13 (04) 463-465
• 4 Taniguchi Y, Yoshida M, Iwasaki H, Otakara H, Iwata S. Kienböck disease in elderly patients. J Hand Surg Am 2003; 28 (05) 779-783
• 5 Thomas AA, Rodriguez E, Segalman K. Kienböck disease in an elderly patient treated with proximal row carpectomy. J Hand Surg Am 2004; 29 (04) 685-688
• 6 Tsujimoto R, Maeda J, Abe Y. et al. Epidemiology of Kienböck disease in middle-aged and elderly Japanese women. Orthopedics 2015; 38 (01) e14-e18
• 7 Yoshida T, Tada K, Yamamoto K, Shibata T, Shimada K, Kawai H. Aged-onset Kienböck disease. Arch Orthop Trauma Surg 1990; 109 (05) 241-246
• 8 Taniguchi Y, Nakao S, Tamaki T. Incidentally diagnosed Kienböck disease. Clin Orthop Relat Res 2002; (395) 121-127
• 9 Soejima O, Iida H, Komine S, Kikuta T, Naito M. Lateral closing wedge osteotomy of the distal radius for advanced stages of Kienböck disease. J Hand Surg Am 2002; 27 (01) 31-36
• 10 White Jr RE, Omer Jr GE. Transient vascular compromise of the lunate after fracture-dislocation or dislocation of the carpus. J Hand Surg Am 1984; 9 (02) 181-184