We reviewed 14 patients treated with scaphocapitate fusion for Kienb.. ock's disease(Lichtman stage III) with mean follow-up of 26 months (ranging from 1 years to 5 year). There were five mens and nine womens. The mean age of patients at the time of operation was 46.1 years (ranging from thirty one to sixty). According to Lichtman's classification, All patients were stage III. Clinical assessments were evaluated using by pain relief, limitation in range of motion and clinical improvement. Radiologic assessment was evaluated by carpal height ratio. The mean range of motion is flexion 30 degree, extension 41 degree preoperatively, and flexion 29 degree, extension 41 degree postoperatively. The mean carpal height ratio is 0.49 preoperatively and 0.48 postoperatively. All of cases are relief of pain. Therefore radiographic and clinical satisfactory results were obtained. In conclusion, scaphocapitate fusion appear to be a very effective method for Lichtman stage III of symptomatic Kienb.. ock's disease.
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Lunate Excision and Tendon Ball Implantation in Lichtman Stage IIIB Kienböck's Disease in Middle-Aged Patients Sang Jin Cheon, Dong Ho Lee, Shi Hwan Park, Woong Ki Jeon Journal of the Korean Society for Surgery of the Hand.2015; 20(3): 110. CrossRef
Fracture of the capitate is a rare form of carpal injuries. It can occur with perilunate dislocation. In that case, capitate fracture associated with scaphoid fracture is common enough that it has been called the scaphocapitate fracture(or syndrome). A rare case of a displaced fracture of the capitate and unusual locked volar perilunate dislocation without scaphoid fracture is described. This carpal injury was treated by closed reduction and percutaneous pinning with one K-wire and the result is now excellent. A possible explantation of the mechanism underlying this conditian is offered and the literature is reviewed.