Evidence map›Paper›PMID 35160115›Full record

ReviewJournal of clinical medicine2022

Recent Advances in Assessment and Treatment in Kienböck's Disease.

Karol Chojnowski, Mikołaj Opiełka, Miłosz Piotrowicz, Bartosz Kamil Sobocki, Justyna Napora, Filip Dąbrowski, Maciej Piotrowski, Tomasz Mazurek

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Kienböck's disease in a 32-year-old female: a case report.Annals of medicine and surgery (2012) · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. 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

8 authors at 1 institution in 1 country.

Karol ChojnowskiDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Gdansk, 80-803 Gdansk, Poland.ORCID 0000-0002-0317-5223
Mikołaj OpiełkaDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Gdansk, 80-803 Gdansk, Poland.ORCID 0000-0003-3423-3745
Miłosz PiotrowiczDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Gdansk, 80-803 Gdansk, Poland.ORCID 0000-0003-4464-816X
Bartosz Kamil SobockiDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Gdansk, 80-803 Gdansk, Poland.ORCID 0000-0002-5074-9701
Justyna NaporaDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Gdansk, 80-803 Gdansk, Poland.ORCID 0000-0002-5328-054X
Filip DąbrowskiDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Gdansk, 80-803 Gdansk, Poland.
Maciej PiotrowskiDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Gdansk, 80-803 Gdansk, Poland.
Tomasz MazurekDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Gdansk, 80-803 Gdansk, Poland.
Gdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kienböck's disease is a rare disease described as progressive avascular osteonecrosis of the lunate. The typical manifestations include a unilateral reduction in wrist motion with accompanying pain and swelling. Besides recent advances in treatment options, the etiology and pathophysiology of the disease remain poorly understood. Common risk factors include anatomical features including ulnar variance, differences in blood supply, increased intraosseous pressure along with direct trauma, and environmental influence. The staging of Kienböck's disease depends mainly on radiographic characteristics assessed according to the modified Lichtman scale. The selection of treatment options is often challenging, as radiographic features may not correspond directly to initial clinical symptoms and differ among age groups. At the earliest stages of Kienböck disease, the nonoperative, unloading management is generally preferred. Patients with negative ulnar variance are usually treated with radial shortening osteotomy. For patients with positive or neutral ulnar variance, a capitate shortening osteotomy is a recommended option. One of the most recent surgical techniques used in Stage III Kienböck cases is vascularized bone grafting. One of the most promising procedures is a vascularized, pedicled, scaphoid graft combined with partial radioscaphoid arthrodesis. This technique provides excellent pain management and prevents carpal collapse. In stage IV, salvage procedures including total wrist fusion or total wrist arthroplasty are often required.

Indexed as

Kienböcklunate boneosteonecrosiswrist

Identifiers

PMID35160115
PMCPMC8836398
OpenAlexW4210718228

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.