Bonjour a tous, je fais partie des exceptions pour cette maladie rare. Pdf distraction osteogenesis for ulnar lengthening in. The age distribution for kienbock disease depends on gender. Kienbocks disease is a relatively rare disorder that disrupts the blood supply to the lunate. Lindice radioulnaire iru etait negatif dans 10 cas, nul dans 27 cas. Wrist fusion versus limited carpal fusion in advanced. See more ideas about herbalism, healing herbs and herbal plants. Kienbock disease is the eponymous name given to osteonecrosis involving the lunate.
It resulted in a clinically normal wrist and complete revascularisation of the lunate on mri. During resistance training, he performs painfree exercises and limits. Surgery vs rehabilitation for thoracic outlet syndrome rmlgacces to article. May 16, 2017 kienbocks disease is a relatively rare disorder that disrupts the blood supply to the lunate.
Distraction osteogenesis for ulnar lengthening in kienbock s disease. Trouver des photos premium en haute rsolution sur getty images 17 dc 2015. Thieme ejournals journal of wrist surgery abstract. Les symptomes peuvent etre des douleurs du poignet plus ou moins intenses. Six had total wrist fusions and 12 had limited carpal fusions. Although the distal fourth eca can be used as its pedicle the fifth eca is preferred, connected to the fourth eca via their common origin. The authors report a case of kienbocks disease in a nineyearold male gymnast, treated conservatively.
Longterm followup of callotasis lengthening of the. Specifically, kienbocks disease is another name for avascular necrosis death and fracture of bone tissue due to. Musculoskeletal pain in adults with cerebral palsy. Eponyms are a longstanding tradition in western science and medicine. Subjects persons with cerebral palsy and no intellectual disabilities, 18 years or more, living in norway. Kienbock s disease kienbock disease is a rare bone disorder of unknown etiology characterized clinically by osteonecrosis of the carpal lunate, eventually leading to collapse of the lunate bone impacting wrist function. Kienbock disease definition of kienbock disease by. Scaphotrapeziotrapezoid arthrodesis in the treatment of. Recent studies gay et al evaluated the use of a simple capitate osteotomy without arthrodesis, through a dorsal medial approach and fixed with staples, in 11 patients with mild forms stage i to iiia, lichtman classification of kienboc. Disease definition of disease by the free dictionary. Kienbocks disease kienbock disease is a rare bone disorder of unknown etiology characterized clinically by osteonecrosis of the carpal lunate, eventually leading to. The lunate is one of eight small carpal bones in your wrist.
Congres decembre 2015 december, 2015 meeting palais des. Methods a multidimensional questionnaire, including items on. Kienbocks disease is a form of osteonecrosis affecting. Le dr sarah jeannin, psychologue clinicienne et docteur en ethologie, nous explique ce quest cette maladie psychiatrique. Lunate revascularization or surgical angiogenesis is defined as the surgical transfer of vessels or wellvascularized autogenous tissue, used alone or augmented by simultaneous application of vasculogenic cytokines. The venous drainage of the lunate bone the venous drainage of the lunate bone pichler, m putz, r. Is radial shortening useful for litchman stage 3b kienbock. It is breakdown of the lunate bone, a carpal bone in the wrist that articulates with the radius in the forearm. Arthroscopic assessment and classification of kienbocks.
An eponymous disease is a disease named after a person. Cpd questionnaires must be completed online via za after submission you can check the answers and print your certificate. Peste 1910 1928 robert kienbock 1920 muller relation maladie et brievete du cubitus 1935 hulten variation rud hypothese compression 1935 hulten accourcissement du radius 1945 persson allongement du cubitus. The condition is most common within the dominant wrist of young adult men where it appears to be due to repeated loading of the lunate. Clinical results were good with regard to pain and fair with regard to grip strength which was improved by an average of 32%. The surgical technique for the use of vascularized dorsal radius bone grafts has been described previously. In contrast, the arc of flexionextension was 38% less than on the unoperated side. Saffarremplacement du semilunaire par le pisiforme. Sipho sepamla to whom it may concern poem analysis essays. Six malades ont eu une arthrodese radiocarpienne complete et 12 une arthrodese carpienne limitee. In ten cases, a prosthetic replacement of the lunate was inserted at the same time. Kienbocks disease is a form of osteonecrosis affecting the lunate characterized by sclerosis, cystic changes, fragmentation, and articular surface collapse as present on plain film radiographs.
The scientific and medical communities regard it as bad form to attempt to eponymise oneself. About two posttraumatic gilliattsumner hands from decompensation of thoracic outlet syndrome 12 nov 2015. Description of a new technique for the treatment of kienbocks disease. Objective to examine prevalence and localization of musculoskeletal pain in adults with cerebral palsy compared with the general population and to investigate variables potentially associated with pain. We treated 18 patients with advanced kienbock s disease surgically.
Authors, title, city, publishing house, year of publication, page of the quote. Sep 27, 2019 kienbock disease is a condition of uncertain etiology that results in osteonecrosis of the carpal lunate. Surgery vs rehabilitation for thoracic outlet syndrome e g. The classification and treatment of kienbocks disease. We treated 18 patients with advanced kienbocks disease surgically.
Vascularized bone grafting for treatment of kienbocks disease. Is radial shortening useful for litchman stage 3b kienbocks. In its early stages, kienbocks disease may be difficult to diagnose because the symptoms are so similar to those of a sprained wrist. Kienbocks disease is a form of osteonecrosis affecting the lunate. The original may be consulted at kings college london kings college london. Lunate replacement by a costochondral graft is possible because studies showed vitality of this free graft up to five years. Spinal cord injury or disease which affects the function of one or both upper limbs, complex regional pain syndromes type 1 and type 2. Kienbocks disease in a varsity football player canadian chiropractic. Kienbock disease is a condition of uncertain etiology that results in osteonecrosis of the carpal lunate. Kienbock disease is avascular necrosis of the scaphoid bone. Kienbocks disease, also known as lunatomalacia, was first described in the literature by robert kienbock in 1910 as ligamentous trauma to the lunate resulting in the interruption of internal arterial supply to the bone. Atsdue personal laboral fundacion hospital son llatzer. Musculoskeletal pain in adults with cerebral palsy compared. Robert kienbock, a radiologist in vienna, austria who described osteomalacia of the lunate in 1910.
740 15 402 958 262 625 941 785 439 1573 59 1180 396 25 853 1519 956 26 1260 897 1330 448 1545 664 1309 709 643 95 604 1296 422 1213 318 358 913 851