Non-operative Treatment of Kienbock’s Disease, Systematic Literature Review and Report on Three Cases
Journal Title: Journal of Orthopaedic Science and Research - Year 2020, Vol 1, Issue 1
Abstract
Objective: Evaluate patient outcomes after non-operative treatment for Kienbock’s disease. Methods: A systematic review of literature using CINAL, Cochrane and PubMed databases was performed by the authors. Common keywords associated with Kienbock’s disease were searched. Articles were limited to those published less than 40 years ago and those in English. The bibliographies of all relevant results were manually searched for any additional references. Duplicates and paediatric articles were removed and abstracts were reviewed for relevance. Each eligible study was independently reviewed in its entirety by two of the investigators. Three cases with stage II Kienbock’s disease on MRI treated non-operatively are also presented. Results: 15 out of 967 articles met inclusion criteria. Various surgical techniques compared to non-operative treatment. Surgery was largely no better than non-operative treatment with symptom relief. Wrist mobility, grip strength, and activity modification showed non-operative treatment having better long term outcomes. The cases of three patients with stage II disease on MRI treated non-operatively are presented. At follow up, patients reported improved pain and function. One patient demonstrated improved vascularity on repeat MRI. Conclusion: Based on the results of our systematic review along with the successful outcomes of three cases presented by the authors, non-operative treatment of Kienbock’s disease may be more beneficial than previously thought or described regardless of the stage of Kienbock’s disease.
Authors and Affiliations
Bryce N Clinger*, Mark S Anderson, Moheb S Moneim
Keywords
Related Articles
- EP ID EP698807
- DOI http://dx.doi.org/10.46889/JOSR.2020.1102
- Views 84
- Downloads 1
A Novel Bone Void Filler for Use in Prosthetic Joint Infections
Bone grafts and Bone Void Fillers (BVF) have multiple applications in total joint reconstruction surgeries. However, despite their widespread use, they are contraindicated in Prosthetic Joint Infections (PJI). A BVF devi...
Exploring the Intersection of Bodybuilding and Ramadan: Strategies for Maintaining Muscle Mass and Performance During Fasting
Ramadan, the ninth month of the Islamic lunar calendar, involves fasting from dawn until sunset as a spiritual practice. For individuals engaged in bodybuilding and fitness pursuits, Ramadan presents unique challenges an...
Intramedullary Nailing with an Absorbable Antibiotic Carrier (INaac): A Simple Technique Using Standard Implants
Introduction: Intramedullary nailing has revolutionized the treatment of long bone fractures and non-unions. However, there is rightly concern about the use of nails when there is established infection or when the risk o...
Are New Approaches Needed to Solidify Pulsed Electromagnetic Fields and Osteoarthritis Associations: A 50-year Retrospective Showing Promise but No Definitive Lab or Clinical Research Conclusions (1974-2024)
Background: Osteoarthritis, a painful oftentimes disabling joint disorder affects many older adults and others globally. Involving progressive and distinctive biologic as well as structural alterations of the articular c...
Misdiagnosis or Missed Diagnosis - Hallux Sesamoid Fractures among Active-Duty Females in the United States Air Force: A Case Series
Background: Female service members tend to have a higher level of foot injuries than males. The United States Army spent $103 million in 2017 on fractures in toes and feet. Fractures of the tibial and fibular sesamoids a...