Treatments for Kienböck disease: what the radiologist needs to know

详细信息    查看全文

• 作者：Carissa White ; Prosper Benhaim ; Benjamin Plotkin
• 关键词：Kienböck ; Lunate ; Avascular necrosis ; Wrist
• 刊名：Skeletal Radiology
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：45
• 期：4
• 页码：531-540
• 全文大小：1,527 KB
• 参考文献：1.Arnaiz J, Piedra T, Cerezal L, Ward J, Thompson A, Vidal JA, et al. Imaging of Kienböck disease. AJR Am J Roentgenol. 2014;203(1):131–9.CrossRef PubMed
  2.van Leeuwen WF, Janssen SJ, Ter Meulen DP, Ring D. What is the radiographic prevalence of incidental Kienböck disease? Clin Orthop Relat Res. 2015.
  3.Yazaki N, Nakamura R, Nakao E, Iwata Y, Tatebe M, Hattori T. Bilateral Kienböck’s disease. J Hand Surg Br Eur Vol. 2005;30(2):133–6.CrossRef
  4.Seah KT, McEachan J, Davidson D. Bilateral Kienböck’s disease in association with type 1 diabetes. J Hand Surg Eur Vol. 2012;37(7):697–8.CrossRef PubMed
  5.Mok CC, Lau CS, Cheng PW, Ip WY. Bilateral Kienböck’s disease in SLE. Scand J Rheumatol. 1997;26(6):485–7.CrossRef PubMed
  6.Wollstein A, Tantawi D, Wollstein R. Bilateral Kienbock’s disease concomitant with bilateral Legg-Calve-Perthes disease: a case report. Hand (New York, NY). 2013;8(1):120–2.
  7.Cerezal L, del Pinal F, Abascal F, Garcia-Valtuille R, Pereda T, Canga A. Imaging findings in ulnar-sided wrist impaction syndromes. Radiographics. 2002;22(1):105–21.CrossRef PubMed
  8.Stahl S, Stahl AS, Meisner C, Hentschel PJ, Valina S, Luz O, et al. Critical analysis of causality between negative ulnar variance and Kienböck disease. Plast Reconstr Surg. 2013;132(4):899–909.CrossRef PubMed
  9.Illarramendi AA, Schulz C, De Carli P. The surgical treatment of Kienböck’s disease by radius and ulna metaphyseal core decompression. J Hand Surg. 2001;26(2):252–60.CrossRef
  10.Iwasaki N, Minami A, Oizumi N, Suenaga N, Kato H, Minami M. Radial osteotomy for late-stage Kienböck’s disease: wedge osteotomy versus radial shortening. J Bone Joint Surg Br Vol. 2002;84(5):673–7.CrossRef
  11.Blanco RH, Blanco FR. Osteotomy of the radius without shortening for Kienböck disease: a 10-year follow-up. J Hand Surg. 2012;37(11):2221–5.CrossRef
  12.Imaeda T, Nakamura R, Shionoya K, Makino N. Ulnar impaction syndrome: MR imaging findings. Radiology. 1996;201(2):495–500.CrossRef PubMed
  13.JM. AaZ. Malacia del semilunar. Valladolid, Spain: University of Valladolid; 1966.
  14.Beredjiklian PK. Kienböck’s disease. J Hand Surg. 2009;34(1):167–75.CrossRef
  15.Lutsky K, Beredjiklian PK. Kienböck disease. J Hand Surg. 2012;37(9):1942–52.CrossRef
  16.Gelberman RH, Bauman TD, Menon J, Akeson WH. The vascularity of the lunate bone and Kienböck’s disease. J Hand Surg. 1980;5(3):272–8.CrossRef
  17.Schiltenwolf M, Martini AK, Mau HC, Eversheim S, Brocai DR, Jensen CH. Further investigations of the intraosseous pressure characteristics in necrotic lunates (Kienböck’s disease). J Hand Surg. 1996;21(5):754–8.CrossRef
  18.Lichtman DM, Mack GR, MacDonald RI, Gunther SF, Wilson JN. Kienböck’s disease: the role of silicone replacement arthroplasty. J Bone Joint Surg Am Vol. 1977;59(7):899–908.
  19.Lichtman DM, Lesley NE, Simmons SP. The classification and treatment of Kienböck’s disease: the state of the art and a look at the future. J Hand Surg Eur Vol. 2010;35(7):549–54.CrossRef PubMed
  20.Schmitt R, Heinze A, Fellner F, Obletter N, Struhn R, Bautz W. Imaging and staging of avascular osteonecroses at the wrist and hand. Eur J Radiol. 1997;25(2):92–103.CrossRef PubMed
  21.Luo J, Diao E. Kienböck’s disease: an approach to treatment. Hand Clin. 2006;22(4):465–73. abstract vi.CrossRef PubMed
  22.Goldfarb CA, Hsu J, Gelberman RH, Boyer MI. The Lichtman classification for Kienböck’s disease: an assessment of reliability. J Hand Surg. 2003;28(1):74–80.CrossRef
  23.Larsen CF, Mathiesen FK, Lindequist S. Measurements of carpal bone angles on lateral wrist radiographs. J Hand Surg. 1991;16(5):888–93.CrossRef
  24.Bain GI, Durrant A. An articular-based approach to Kienböck avascular necrosis of the lunate. Tech Hand Upper Extrem Surg. 2011;15(1):41–7.CrossRef
  25.Wollstein R, Wollstein A, Rodgers J, Ogden TJ. A hand therapy protocol for the treatment of lunate overload or early Kienböck’s disease. J Hand Ther. 2013;26(3):255–9. quiz 260.CrossRef PubMed
  26.Meena D, Saini N, Kundanani V, Chaudhary L, Meena D. Distraction histiogenesis for treatment of Kienböck’s disease: a 2- to 8-year follow-up. Ind J Orthop. 2009;43(2):189–93.CrossRef
  27.Matsui Y, Funakoshi T, Motomiya M, Urita A, Minami M, Iwasaki N. Radial shortening osteotomy for Kienböck disease: minimum 10-year follow-up. J Hand Surg. 2014;39(4):679–85.CrossRef
  28.Fouly EH, Sadek AF, Amin MF. Distal capitate shortening with capitometacarpal fusion for management of the early stages of Kienböck disease with neutral ulnar variance: case series. J Orthop Surg Res. 2014;9(1):86.PubMedCentral CrossRef PubMed
  29.Okamoto MAM, Shirai H, Ueda N, Kagawa Y. Capitate shortening for Kienböck’s disease. J Jpn Soc Surg Hand. 1999;15:674–6.
  30.Kakar S, Shin AY. Vascularized bone grafting from the dorsal distal radius for Kienböck’s disease: technique, indications and review of the literature. Chir de la main. 2010;29 Suppl 1:S104–11.CrossRef
  31.Mir X, Barrera-Ochoa S, Lluch A, Llusa M, Haddad S, Vidal N, et al. New surgical approach to advanced Kienböck disease: lunate replacement with pedicled vascularized scaphoid graft and radioscaphoidal partial arthrodesis. Techn Hand Upper Extrem Surg. 2013;17(2):72–9.CrossRef
  32.Daecke W, Lorenz S, Wieloch P, Jung M, Martini AK. Vascularized os pisiform for reinforcement of the lunate in Kienböck’s disease: an average of 12 years of follow-up study. J Hand Surg. 2005;30(5):915–22.CrossRef
  33.Vilkki SK. A new concept and technique for custom-made microvascular lunate bone reconstruction. J Reconstr Microsurg. 2007;23(7):351–9.CrossRef PubMed
  34.Arora R, Lutz M, Deml C, Krappinger D, Zimmermann R, Gabl M. Long-term subjective and radiological outcome after reconstruction of Kienböck’s disease stage 3 treated by a free vascularized iliac bone graft. J Hand Surg. 2008;33(2):175–81.CrossRef
  35.Burger HK, Windhofer C, Gaggl AJ, Higgins JP. Vascularized medial femoral trochlea osteochondral flap reconstruction of advanced Kienböck disease. J Hand Surg. 2014;39(7):1313–22.CrossRef
  36.Higgins JP, Burger HK. Osteochondral flaps from the distal femur: expanding applications, harvest sites, and indications. J Reconstr Microsurg. 2014.
  37.Bellemere P, Maes-Clavier C, Loubersac T, Gaisne E, Kerjean Y. Amandys® implant: novel pyrocarbon arthroplasty for the wrist. Chir de la main. 2012;31(4):176–87.CrossRef
  38.Bellemere P, Maes-Clavier C, Loubersac T, Gaisne E, Kerjean Y, Collon S. Pyrocarbon interposition wrist arthroplasty in the treatment of failed wrist procedures. J Wrist Surg. 2012;1(1):31–8.PubMedCentral CrossRef PubMed
  39.Ueba Y, Nosaka K, Seto Y, Ikeda N, Nakamura T. An operative procedure for advanced Kienböck’s disease: excision of the lunate and subsequent replacement with a tendon-ball implant. J Orthop Sci. 1999;4(3):207–15.CrossRef PubMed
  40.Mariconda M, Soscia E, Sirignano C, Smeraglia F, Soldati A, Balato G. Long-term clinical results and MRI changes after tendon ball arthroplasty for advanced Kienböck’s disease. J Hand Surg Eur Vol. 2013;38(5):508–14.CrossRef PubMed
  41.Chim H, Moran SL. Long-term outcomes of proximal row carpectomy: a systematic review of the literature. J Wrist Surg. 2012;1(2):141–8.PubMedCentral CrossRef PubMed
  42.Facca S, Gondrand I, Naito K, Lequint T, Nonnenmacher J, Liverneaux P. Graner’s procedure in Kienböck disease: a series of four cases with 25 years of follow-up. Chir de la main. 2013;32(5):305–9.CrossRef
  43.Lee JS, Park MJ, Kang HJ. Scaphotrapeziotrapezoid arthrodesis and lunate excision for advanced Kienböck disease. J Hand Surg. 2012;37(11):2226–32.CrossRef
  44.Luegmair M, Saffar P. Scaphocapitate arthrodesis for treatment of late stage Kienböck disease. J Hand Surg Eur Vol. 2014;39(4):416–22.CrossRef PubMed
  45.Minamikawa Y, Peimer CA, Yamaguchi T, Medige J, Sherwin FS. Ideal scaphoid angle for intercarpal arthrodesis. J Hand Surg. 1992;17(2):370–5.CrossRef
  46.Bain GI, McGuire DT. Decision making for partial carpal fusions. J Wrist Surg. 2012;1(2):103–14.PubMedCentral CrossRef PubMed
  47.Budoff JE, Gable G. Ulnar translation of scaphocapitate arthrodeses in Kienböck’s disease: two case reports. J Hand Surg. 2005;30(1):65–8.CrossRef
  48.Youm Y, McMurthy RY, Flatt AE, Gillespie TE. Kinematics of the wrist. I. An experimental study of radial-ulnar deviation and flexion-extension. J Bone Joint Surg Am Vol. 1978;60(4):423–31.
  49.Buck-Gramcko D. Wrist denervation procedures in the treatment of Kienböck’s disease. Hand Clin. 1993;9(3):517–20.PubMed
  
• 作者单位：Carissa White (1)
  Prosper Benhaim (2)
  Benjamin Plotkin (3)
  
  1. Department of Radiology, University of California, Los Angeles, 757 Westwood Blvd. Suite 1638, Los Angeles, CA, 90095, USA
  2. Department of Orthopaedic Surgery, University of California, Los Angeles, 10945 Le Conte Ave, Room 33-55 PVUB, Box 957326, Los Angeles, CA, 90095, USA
  3. Department of Radiology, University of California, Los Angeles, 1250 Sixteenth Street, Box 957036, Santa Monica, CA, 90404, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Orthopedics
  Pathology
  Nuclear Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-2161

文摘

The etiology of Kienböck disease, or avascular necrosis of the lunate, is controversial, and there are a myriad of treatments aimed at correcting the various hypothesized pathologies. Interventions to reduce mechanical stress on the lunate have been used for decades, including radial osteotomy with or without radial shortening, ulnar lengthening and metaphyseal core decompression procedures. However, these procedures require preservation of lunate architecture. Newer procedures to revascularize the lunate bone have emerged in the last 10 years, such as pedicled corticoperiosteal vascularized bone grafting. Once there is collapse of the radiocarpal joint or midcarpal arthrosis, the conventional treatments have included proximal row carpectomy and complete or partial wrist joint arthrodesis. Newer salvage procedures such as lunate excision with autologous or synthetic interposition grafts are now being used when possible. As this disease is relatively rare, radiologists may not be familiar with the expected post-operative radiologic findings and complications, especially of the newer treatments. The goals of this paper are to review the available treatment options and their expected appearance on postoperative imaging, with discussion of possible complications when appropriate.