title: Distal radius definitive epiphysiodesis for management of Kienböck´s disease in skeletally immature patients.
abstract: OBJECTIVE
  Kienböck's disease is an unusual pathology with unknown aetiology within the pediatric population. Several treatment options have been described in the literature; however, there are neither large series nor homogeneous studies that have clarified which treatment is best. The aim of this study was to describe five cases in which definitive distal radius epiphysiodesis was performed as an alternative method to the classic distal radius shortening osteotomy in skeletally immature patients with Kienböck's disease.
  
  
  METHODS
  The clinical charts and radiographs of four patients (five wrists) diagnosed as having Kienböck's disease and treated by definitive distal radius epiphysiodesis were reviewed.
  
  
  RESULTS
  All patients were symptomatically free with full range of motion at 4.25 months (range, three to six months) after surgery. In all cases, shortening of the distal radius was achieved (p = 0.032).
  
  
  CONCLUSIONS
  This new technique is a simple, effective, and minimally invasive procedure with low morbidity and good clinical and radiological outcomes.
authors: Orthopaedic Surgery, Hospital 12 de Octubre, Madrid, Spain.
authors: Alberto
authors: A
authors: Jorge-Mora
authors: Juan
authors: J
authors: Pretell-Mazzini
authors: Rafael
authors: R
authors: Marti-Ciruelos
authors: Eva Maria
authors: EM
authors: Andres-Esteban
authors: Angel
authors: A
authors: Curto de la Mano
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001846:Bone Development / Q000502:physiology; D002648:Child; D004838:Epiphyses / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D010020:Osteonecrosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D010146:Pain; D011859:Radiography; D011884:Radius / Q000254:growth & development / Q000473:pathology / Q000601:surgery*; D016059:Range of Motion, Articular; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery