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May 6, 2026Archives of Hand and MicrosurgeryOpen Access

Radial and ulnar shortening osteotomy as a potential treatment for ulnar-positive Kienböck disease

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Authors

SCSung Ha ChunHGHyun Sik Gong

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Overview

Retrospective study examined radiographic outcomes for ulnar-positive Kienböck disease after surgery, indicating potential benefits of combined osteotomies.

Key Points

  • The study aimed to evaluate the radiographic outcomes of ulnar-positive Kienböck disease patients undergoing combined osteotomies compared to RSO alone.
  • Retrospective analysis of 17 patients who underwent surgery between 2016 and 2024
  • Patients were categorized into two groups based on ulnar variance
  • Radiographic evaluation included preoperative and postoperative staging using the Lichtman system.
  • In the RSO-only group, 30% showed disease progression
  • In the combined group, 14% showed disease progression, 14% showed improvement, and 71% showed no change
  • One patient demonstrated complete resolution of fragmentation on magnetic resonance imaging
  • No significant postoperative lunate collapse was observed in any patient.

Cite This Study

Chun et al. (2026) studied this question.

synapsesocial.com/papers/69fa8e3804f884e66b530775https://doi.org/10.12790/ahm.25.0053
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Functional Outcomes after Radial Shortening Osteotomy in Stage IIIA Kienböck’s Disease: A Five-Patient Case Series2026
  2. 2Radial Shortening Osteotomy in Kienbock Disease: A Case Series, Single Surgeon Experience2026
  3. 3Distal Radius Osteotomies for Kienbock's Disease—A Minimally Invasive Approach2024 · 1 citations
  4. 4Modified Radial Shortening Osteotomy for Kienbock’s2024
  5. 5Capitate Shortening Osteotomy for Kienböck’s Disease: A Systematic Review2026