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Related Experiment Videos

Long-term outcomes for Kienböck's disease.

Glynn R Martin1, Daniel Squire1

  • 1Division of Orthopaedic Surgery, Discipline of Surgery, Memorial University, 300 Prince Philip Dr., St. John's, NL Canada A1B 3V6.

Hand (New York, N.Y.)
|January 16, 2014
PubMed
Summary

This study found no significant difference in outcomes for Kienböck's disease between surgical and nonsurgical treatments. However, older age at diagnosis correlated with worse outcomes, regardless of treatment approach.

Keywords:
DASHKienböck's diseaseLong-term outcomesNonsurgical treatmentSurgical treatment

Related Experiment Videos

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Rheumatology

Background:

  • The exact cause of Kienböck's disease remains unknown.
  • Optimal treatment strategies for Kienböck's disease are debated.
  • This study evaluated surgical versus nonsurgical outcomes in Newfoundland and Labrador, Canada.

Purpose of the Study:

  • To compare the effectiveness of surgical and nonsurgical treatments for Kienböck's disease.
  • To investigate factors influencing treatment outcomes, including age at diagnosis and disease duration.
  • To provide data for clinical decision-making in Kienböck's disease management.

Main Methods:

  • Retrospective analysis of 66 patients diagnosed with Kienböck's disease.
  • Primary outcome measure: Disabilities of the Arm, Shoulder, and Hand (DASH) score.
  • Statistical analysis included Student's t test, ANOVA, and Pearson correlation.

Main Results:

  • No significant difference in DASH scores between surgically (23.7±24.5) and nonsurgically (20.0±20.1) treated patients.
  • Surgical group predominantly consisted of late-stage Kienböck's disease.
  • A positive correlation (r=0.42, p=0.007) was observed between age at diagnosis and DASH score, indicating poorer outcomes with later diagnosis.

Conclusions:

  • Surgical and nonsurgical treatments yield similar functional outcomes (DASH scores) for Kienböck's disease.
  • Older age at diagnosis is associated with worse functional outcomes, irrespective of treatment.
  • These findings suggest that timely diagnosis and intervention may be crucial for improving patient prognosis.