Evidence map›Paper›PMID 30317203›Full record

ArticleBMJ case reports2018

Stage III Kienböck's disease treated with hyperbaric oxygen: the role of an unusual approach to a rare condition.

Paulo Jorge Figueira, Diogo Alpuim Costa, Nunzio Barbagallo, Francisco Gamito Guerreiro

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. A Scoping Review of Pediatric Kienböck Disease: What Do We Know?Journal of hand surgery global online · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Paulo Jorge FigueiraOrthopaedic Department, Centro Hospitalar de Lisboa Central, Hospital Curry Cabral, Lisbon, Portugal.
Diogo Alpuim CostaHaematology and Oncology Department, Instituto CUF de Oncologia (I.C.O.), Lisbon, Portugal.
Nunzio BarbagalloPhysics and Astronomy Department, Università di Bologna, Bologna, Italy.
Francisco Gamito GuerreiroCentro de Medicina Subaquática e Hiperbárica, Marinha Portuguesa, Marinha Portuguesa, Lisbon, Portugal.
Centro Hospitalar de Lisboa Central · PTMarinha PortuguesaPortuguese Naval School · PTUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kienböck's disease is a rare condition characterised by avascular necrosis of the lunate bone. Its natural history and aetiopathogenesis have not yet been clarified, nor are its triggering factors identified. We present a case of a 17-year-old male gymnast, without relevant medical/family history, with stage IIIA Kienböck's disease diagnosed in 2016. Initially, submitted to conservative treatment that proved to be insufficient. Consequently, surgical treatment was proposed, but refused. The patient instead underwent experimental treatment with hyperbaric oxygen (120 sessions, 100% oxygen at 2.5 atm, for 70 min periods, once daily, five times per week). In April 2018, a favourable clinical and radiological evolution was observed, with an improvement in the patterns of pain, motion and strength and an almost complete involution of the process of aseptic necrosis of the semilunar. To the best of our knowledge, this is the first report of Kienböck's disease treated with hyperbaric oxygen.

Indexed as

GymnasticsAdolescentDiagnosis, DifferentialHumansHyperbaric OxygenationLunate BoneMagnetic Resonance ImagingMaleOsteonecrosisdrugs: musculoskeletal and joint diseasesmedical managementmusculoskeletal and joint disordersorthopaedicstherapeutic indications

Identifiers

PMID30317203
PMCPMC6194444
OpenAlexW2896175934

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.