title: Overgrowth after radial shortening for Kienböck's disease in a teenager: case report.
abstract: A 16-year-old boy was treated by a radial-shortening procedure for symptomatic stage IIIB Kienböck's disease with 4 mm negative ulnar variance. The osteotomy corrected the ulnar variance to negative 1 mm after surgery, but further negative ulnar variance of 9 mm occurred at follow-up evaluation as a result of radial overgrowth. The functional outcome was excellent with remodeling of the lunate. The possibility of overgrowth should be considered when contemplating a radial-shortening osteotomy for Kienböck's disease in skeletally immature patients.
authors.affiliation: Department of Orthopaedics and Traumatology, Cukurova University Faculty of Medicine, Balcali, Adana, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Herdem
authors.forename: Cenk
authors.initials: C
authors.lastname: Ozkan
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Bayram
mesh_terms: D000293:Adolescent; D006801:Humans; D012667:Lunate Bone / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy; D011183:Postoperative Complications; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging / Q000254:growth & development* / Q000601:surgery