Scientific articleRadial Overgrowth After Radial Shortening Osteotomies for Skeletally Immature Patients With Kienböck's Disease
Section snippets
Materials and Methods
We retrospectively identified and reviewed all skeletally immature patients with symptomatic Kienböck's disease who were considered for radial shortening from 1990 to 2004. Chart reviews identified 8 patients. Three surgeons carried out radial shortening for the 8 patients with negative ulnar variance. Hospital medical records and preoperative and postoperative radiographs obtained at regular follow-ups were collected in order to evaluate the clinical and radiographic findings. There were 3
Clinical assessments
At a mean follow-up of 69 (range, 36–117) months, 6 of the 8 patients were free from pain, and the remaining patients had mild wrist pain on strenuous activity. No patient had pain at the distal radioulnar joint or at the osteotomy site. The mean postoperative range of extension and flexion of the wrist increased significantly, from 91° ± 16° to 151° ± 21° (p < .01). The grip strength of the affected side compared with the unaffected side improved from 43% ± 13% to 104% ± 10% (p < .01). Based
Discussion
The first aim of this study was to determine the effect of radial shortening on radial growth in skeletally immature patients with Kienböck's disease. At a mean follow-up of 69 months, in standard radiographs, we recognized that 4 of the 8 patients (50%) had radial overgrowth in the affected side. There were no other findings indicating radial deformities after this surgery. To our knowledge, only 1 case report has demonstrated 8-mm overgrowth at 80 months after radial shortening for Kienböck's
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