Kienb#{246}ck’s avascular necrosis of the lunate bone still poses problems both in its etiology and management. Excision ofthe bone has received little support in the past. Thus St#{225}hl(1947) in an extensive review of the condition concluded that the operation should be abandoned. Therkelsen and Andersen ( 1949) reviewed 109 cases and found that the worst results followed excision. Dornan (1...

Background Scapholunate reconstruction poses a challenge to orthopedic surgeons. Materials and Methods Prospective cohort. Description of Technique Our technique for scapholunate (SL) reconstruction involves ligament reconstruction utilizing a portion of the flexor carpi radialis tendon rerouted via transosseous tunnels across the scaphoid, lunate, and triquetrum (scapholunotriquetral tenodesis...

Congenital fusion of the lunate [semilunar] bone with the triquetral [cuneiform] is an abnormality which has been considered to be rare, even in negroes, who have been regarded as specially subject (Shanks 1950). Smitham (1948) estimated its incidence in a series of West African natives to be one in seventeen (5’9 per cent), and if his experience is typical it is certainly much commoner in some...

PURPOSE Proximal row carpectomy (PRC) is a clinically useful motion-sparing procedure for the treatment of certain degenerative conditions of the wrist. Clinical outcome studies after PRC have shown that wrist flexion-extension averages approximately 60% of that of the contralateral wrist. The purpose of this study was to determine how the kinematics of the wrist are altered after PRC. METHOD...

A case of avascular necrosis of the lunate in a 12-year-old girl is described. Conservative treatment resulted in a clinically normal wrist at three years' follow-up, despite obvious radiological changes.

BACKGROUND The purpose of this study was to investigate the midterm clinical and radiographic outcomes of this new treatment for Kienböck's disease. METHODS We applied a new method involving drilling, bone marrow transfusion, external fixation, and low-intensity pulsed ultrasound for patients with Kienböck's disease. Between 2000 and 2006, the treatment was performed in 18 patients (10 men an...

Background: The occipital lobe of cerebrum is intimately related with visual function. The detailed anatomy of this lobe is essential for the surgeons and radiologists. The aim of the present study was to identify the variation of different sulci of the occipital lobe and find the relations between them. So, this study was done to evaluate the different parameters of these sulci by studying cer...

Displaced intra-articular distal radius fractures are difficult to treat, with numerous associated complications. The potential onset of post-traumatic osteoarthritis (OA) is a major concern. The relationship between malreduced intra-articular fracture of the distal radius and subsequent early onset of radiocarpal OA is clinically important, yet poorly understood. To better understand this pres...

BACKGROUND The medial and lateral femur provide a source of convex osteochondral vascularized bone. The medial trochlea has been demonstrated to have similar contour to the proximal scaphoid, lunate, and capitate. Other sites of osteochondral harvest such as the posteromedial femur and the lateral trochlea are similar in morphology to the humeral capitellum and medial talus, respectively. These...