Time course of magnetic resonance images in an adolescent patient with Kienböck's disease treated by temporary scaphotrapezoidal joint fixation: a case report.
Kienböck's disease in a 15-year-old girl was treated successfully by temporary scaphotrapezoidal joint fixation using longitudinal K-wires. Repeated magnetic resonance imaging begun 3 months after surgery showed progressive increases in signal intensity on T1-weighted sequences of the lunate and was almost normal 6 months after surgery. The K-wires used for the temporary joint fixation were removed 6 months after surgery. The signal intensity of the lunate on magnetic resonance images remained normal 2 years after surgery. At that time plain x-ray showed no sign of lunate sclerosis and there was no cystic shadow or sign of advanced collapse. At 2 years after surgery the patient does not complain of wrist pain, can lead a normal daily life, and plays sports without difficulty.


METHODS
Therapeutic, Level IV.
Kazuki
Kenichi
K
Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Abeno-ku, and the Department of Orthopaedic Surgery, Higashisumiyoshi Morimoto Hospital, Higashisumiyoshi-ku, Osaka, Japan. kkazuki@med.osaka-cu.ac.jp
Uemura
Takuya
T
Okada
Mitsuhiro
M
Egi
Takeshi
T
D000293:Adolescent; D001174:Arthrodesis; D001864:Bone Wires; D050824:Carpal Joints / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012667:Lunate Bone / Q000473:pathology; D008279:Magnetic Resonance Imaging; D010020:Osteonecrosis / Q000473:pathology* / Q000601:surgery*; D021361:Scaphoid Bone / Q000601:surgery; D012598:Sclerosis / Q000473:pathology; D051223:Trapezoid Bone / Q000601:surgery