Journal of Research in Orthopedic Science
1
J. Res. Orthop. Sci.
Medical Sciences
http://jros.iums.ac.ir
1
admin
2676-7031
2676-7031
8
7
14
8888
13
en
jalali
1398
8
1
gregorian
2019
11
1
6
4
online
1
fulltext
en
The Role of Lunate Morphology in the Severity of Kienböck Disease: A Retrospective Study
جراحی دست / آرنج
Hand surgery / Elbow
پژوهشی
Research Article
<div style="text-align: justify;"><strong>Background:</strong> Lunate morphology has been associated with several wrist pathologies. In this study, we aimed to find how lunate morphology (absence or presence of hamate facet) affects the severity of Kienböck disease.<br>
Objectives: Evaluation of the relationship between lunate morphology and kienbocks disease. <br>
<strong>Methods:</strong> A total of 106 patients with stage IIIA or IIIB of Kienböck disease at initial presentation were included in this study. Modified Litchman classification system and standardized lateral radiographs were used for staging the Kienböck disease. Lunate morphology was investigated on plain radiograph and computed tomography scan or magnetic resonance imaging and was classified into type I (absence of hamate facet) and type II (presence of hamate facet).<br>
<strong>Results: </strong>The mean±SD age of the patients was 33.5±9.2 years. Kienböck disease stage IIIA and IIIB were identified in 68 (64.2%) and 38 (35.8%), respectively. Hamate facet was present in 65 (61.3%) patients and absent 41 (38.7%) patients. A significant association was found between lunate morphology and stage of disease so that the number of patients with lunate type I was significantly more in stage IIIB and number of patients with lunate type II was significantly more in stage IIIA (p<0.001).<br>
<strong>Conclusion:</strong> Lunate morphology is associated with the severity of Kienböck disease in patients initially presented with stage IIIA or IIIB. These associations could be implicated to prevent disease progression as well as to optimize the outcome of treatment. </div>
Kienböck disease, Lunate morphology, Hamate facet
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http://jros.iums.ac.ir/browse.php?a_code=A-10-665-3&slc_lang=en&sid=1
Hooman
Shariatzadeh
shariatzadeh_h@hotmail.com
10031947532846004037
10031947532846004037
No
Department of Orthopedic Surgery, Bone and Joint Reconstruction Research Center, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Farid
Najd Mazhar
fnajdmazhar@yahoo.com
10031947532846004038
10031947532846004038
No
Department of Orthopedic Surgery, Bone and Joint Reconstruction Research Center, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Hanon
Sadony
dr.sadony@gmail.com
10031947532846004039
10031947532846004039
Yes
Department of Orthopedic Surgery, Bone and Joint Reconstruction Research Center, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Nima
Bagheri
nima.bagheri56@gmail.com
10031947532846004040
10031947532846004040
No
Department of Orthopedic Surgery, Bone and Joint Reconstruction Research Center, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.