Clinical-functional evaluation of a patient undergoing proximal row carpectomy for Kienböck's disease: A literature review and a case report

Surgery Case Reports Pub Date : 2024-06-10 DOI:10.1016/j.sycrs.2024.100039

Grisell Guadalupe García-Catalán , Erik Agustín Márquez-Gutiérrez , Maykel González-Torres

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Abstract

Background

Proximal row carpectomy (PRC) is often recommended for advanced-stage Kienböck's disease (KD), although there is no standardized treatment protocol. This study aimed to evaluate the efficacy of the PRC in managing KD.

Methods

A literature review and a clinical case study were conducted on a 40-year-old male with stage 3 KD.

Results

Postsurgery, the patient reported mild discomfort but significant functional improvement, with the Disabilities of the Arm, Shoulder, and Hand (DASH) score decreasing from 87 to 44. Observations included reduced pain, enhanced wrist trophism, and an expanded range of motion.

Conclusions

The PRC demonstrated positive outcomes, including symptom alleviation and functional restoration, supporting its viability as a tailored surgical intervention for KD, improving quality of life and reducing hospital stay.

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对一名因 Kienböck 病而接受近端排骨切除术的患者进行临床功能评估：文献综述和病例报告

背景近端行carpectomy（PRC）通常被推荐用于晚期Kienböck病（KD）的治疗，尽管目前还没有标准化的治疗方案。本研究旨在评估PRC治疗KD的疗效。方法对一名40岁的3期KD男性患者进行了文献综述和临床病例研究。结果术后患者有轻微不适，但功能明显改善，手臂、肩部和手部残疾（DASH）评分从87分降至44分。观察结果包括疼痛减轻、腕部肌力增强、活动范围扩大。结论PRC显示了积极的效果，包括症状减轻和功能恢复，支持其作为KD的定制手术干预的可行性，改善生活质量并缩短住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgery Case Reports

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