Yasuda M, Okuda H, Egi T, Guidera P M
Department of Orthopaedic Surgery, Tsukazaki Hospital, Hyogo, Japan.
J Hand Surg Am. 1998 May;23(3):411-4. doi: 10.1016/S0363-5023(05)80458-7.
Temporary scapho-trapezoidal joint fixation with Kirschner wires was performed for stage IIIB Kienböck's disease in a 12-year-old girl. Preoperative evaluation with radiographs and magnetic resonance imaging confirmed the diagnosis. After 4 months of fixation, wrist range of motion was improved and pain was decreased. Postoperative magnetic resonance imaging revealed revascularization and fracture healing. Temporary scapho-trapezoidal fixation may be useful in the treatment of selected cases of Kienböck's disease in children.
