Original ArticleNo Access

Is There a Correlation between the Radiological and Clinical Outcome after Core Decompression of the Radius for Kienböck Disease?

Department of Hand Surgery, Balgrist University Clinic, Zürich, Switzerland

E-mail Address: maniglio.mauro@gmail.com

Correspondence to: Mauro Maniglio, Department of Hand Surgery, University Clinic Balgrist, Forchstrasse 340, Zürich CH-8008, Switzerland. Tel: +41-44-386-11-11.

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Ezequiel E. ZAIDENBERG

Department of Orthopaedics and Traumatology, HFR Fribourg Cantonal Hospital, University Hospital, Fribourg, Switzerland

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Simon RONER

Department of Orthopaedics and Traumatology, Hospital Italiano Buenos Aires, Buenos Aires, Argentina

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Nermine HABIB

Department of Plastic Surgery and Hand Surgery, Cantonal Hospital Aarau, Aarau, Switzerland

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Jorge BORETTO

Department of Orthopaedics and Traumatology, HFR Fribourg Cantonal Hospital, University Hospital, Fribourg, Switzerland

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, and

Pablo DE CARLI

Department of Orthopaedics and Traumatology, HFR Fribourg Cantonal Hospital, University Hospital, Fribourg, Switzerland

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https://doi.org/10.1142/S2424835524500061Cited by:0 (Source: Crossref)

Abstract

Background: Despite the good clinical results in the treatment of Kienböck disease with distal radius core decompression, a radiological progression to a certain degree in the long-term follow-up is possible. Is there a negative correlation between the clinical improvement of the patients and the radiological progression?

Methods: We retrospectively reviewed the radiological and clinical results of 24 patients (mean age: 38 years; 10 women) treated with core decompression for Kienböck disease. The mean follow-up was 10 years.

Results: A radiologic progression in the Lichtman classification was seen in nine patients. The Spearman correlation did not show any correlation between this radiological progression and the clinical outcome. Namely −0.06 between Mayo and Lichtman classification and 0.16 between VAS and Lichtman classification.

Conclusions: We found that the clinical outcomes do not deteriorate despite a radiological progression of patients treated with core decompression for Kienböck disease

Level of Evidence: Level IV (Therapeutic)

Keywords:

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