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
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- EP ID EP698807
- DOI http://dx.doi.org/10.46889/JOSR.2020.1102
- Views 81
- Downloads 1
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