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Bilateral pediatric Kienböck's disease: a case report
Takamasa Shimizu1, Hiroshi Yajima, Shohei Omokawa
1Department of Orthopedic Surgery, Nara Medical University, Nara, Japan. tk-shimi@naramed-u.ac.jp
Journal of Pediatric Orthopedics. Part B
|November 21, 2012
Summary
Bilateral Kienböck's disease is rare in children. A 14-year-old boy with this condition showed good results after temporary scaphotrapeziotrapezoidal joint fixation.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Hand Surgery
Background:
- Kienböck's disease, a condition affecting the lunate bone in the wrist, is exceptionally uncommon in pediatric patients.
- Bilateral involvement further increases the rarity of this presentation.
Observation:
- A 14-year-old male presented with bilateral Kienböck's disease.
- The patient experienced symptoms affecting both wrists.
Findings:
- The patient underwent treatment with temporary scaphotrapeziotrapezoidal (STT) joint fixation.
- This surgical approach yielded positive clinical outcomes.
- Radiographic evaluation confirmed favorable results post-treatment.
Implications:
- Temporary STT joint fixation may be a viable treatment option for bilateral pediatric Kienböck's disease.
- This case contributes to the limited literature on managing this rare condition in adolescents.
- Further research is warranted to establish the long-term efficacy of this technique.
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