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Egyptian Journal of Orthopedic Research
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Osman, Y., Farrag, A., Noaman, H., Sleem, A. (2023). ROLE OF CAPITATE SHORTENING IN ULNA MINUS VARIANCE KIENBÖCK'S DISEASE. Egyptian Journal of Orthopedic Research, 4(2), 79-84. doi: 10.21608/ejor.2023.346405
Yasser Osman; Al Ameer Farrag; Hassan Noaman; Ahmed Sleem. "ROLE OF CAPITATE SHORTENING IN ULNA MINUS VARIANCE KIENBÖCK'S DISEASE". Egyptian Journal of Orthopedic Research, 4, 2, 2023, 79-84. doi: 10.21608/ejor.2023.346405
Osman, Y., Farrag, A., Noaman, H., Sleem, A. (2023). 'ROLE OF CAPITATE SHORTENING IN ULNA MINUS VARIANCE KIENBÖCK'S DISEASE', Egyptian Journal of Orthopedic Research, 4(2), pp. 79-84. doi: 10.21608/ejor.2023.346405
Osman, Y., Farrag, A., Noaman, H., Sleem, A. ROLE OF CAPITATE SHORTENING IN ULNA MINUS VARIANCE KIENBÖCK'S DISEASE. Egyptian Journal of Orthopedic Research, 2023; 4(2): 79-84. doi: 10.21608/ejor.2023.346405

ROLE OF CAPITATE SHORTENING IN ULNA MINUS VARIANCE KIENBÖCK'S DISEASE

Article 6, Volume 4, Issue 2, December 2023, Page 79-84  XML PDF (211.31 K)
Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations
DOI: 10.21608/ejor.2023.346405
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Authors
Yasser Osman; Al Ameer Farrag; Hassan Noaman; Ahmed Sleem
Orthopedic and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt
Abstract
Background: Kienbock's disease is characterised by lunate avascular osteonecrosis. The genesis of this illness is still unclear and a subject of controversy. This study aimed assesses the role of capitate shortening in ulna minus variation in the treatment of Kienböck's disease. Methods: This descriptive study was performed on 20 cases aged from 18 to 65 years old, both sexes, suffering from wrist pain, stages II and III and ulna minus. All cases underwent to history taking, clinical evaluation, routine laboratory investigations and radiological evaluation [Wrist Plain X-ray (AP/lateral), computed Tomography and MRI]. Results: VAS score and DASH score were significantly improved postoperative than preoperative (P value <0.001). There was no significant relationship of the function status with occupation and Lichtman stage. Conclusion: During an average 18-month follow-up, patients diagnosed with ulna minus variance Kienbock's disease experienced notable improvements in wrist function and pain reduction with capitate shortening osteotomy as determined by VAS, range of motion, grasp strength, Cooney score, and DASH evaluations. There was no significant relationship of the function status with occupation and Lichtman stage.

Keywords
Capitate Shortening; Ulna Minus Variance; Kienböck's Disease
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