Hyperbaric oxygen therapy in stage III C Kienböck disease: Time is bone
Abstract Kienböck disease, also known as lunatomalacia, is a rare condition which can lead to progressive wrist pain and abnormal carpal motion. We present the case of a 30‐year‐old patient with Down syndrome who came to our observation for treatment of stage III C Kienböck disease. In September 201...
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| Format: | Article |
| Language: | English |
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Wiley
2022-11-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.6524 |
| _version_ | 1811314438241779712 |
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| author | Andrea N. Cracchiolo Fabio Genco Rosalia Lo Bue Marco Palmeri Diego Tantillo Giuseppe Re Biagio Bonanno Mario Finazzo Daniela Maria Palma |
| author_facet | Andrea N. Cracchiolo Fabio Genco Rosalia Lo Bue Marco Palmeri Diego Tantillo Giuseppe Re Biagio Bonanno Mario Finazzo Daniela Maria Palma |
| author_sort | Andrea N. Cracchiolo |
| collection | DOAJ |
| description | Abstract Kienböck disease, also known as lunatomalacia, is a rare condition which can lead to progressive wrist pain and abnormal carpal motion. We present the case of a 30‐year‐old patient with Down syndrome who came to our observation for treatment of stage III C Kienböck disease. In September 2019, the patient reported wrist pain with limitation in movements and initially underwent conservative treatment without benefit. In October 2020, pain symptoms and difficult movements with reduced strength worsened and surgical treatment was proposed, but the patient and his family declined. Thereby the patient underwent conservative treatment with hyperbaric oxygen therapy (HBOT) 60 sessions, 100% oxygen at 2.5 absolute atmospheres (ATA), oxygen total time 60 min, once daily, five times per week. After 6 months, a positive clinical and radiological evolution were 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 stage III C Kienböck's disease in Down's syndrome patient treated with HBOT. |
| first_indexed | 2024-04-13T11:12:49Z |
| format | Article |
| id | doaj.art-f9e5866df9aa41719e0f975da877a0b1 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-04-13T11:12:49Z |
| publishDate | 2022-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-f9e5866df9aa41719e0f975da877a0b12022-12-22T02:49:05ZengWileyClinical Case Reports2050-09042022-11-011011n/an/a10.1002/ccr3.6524Hyperbaric oxygen therapy in stage III C Kienböck disease: Time is boneAndrea N. Cracchiolo0Fabio Genco1Rosalia Lo Bue2Marco Palmeri3Diego Tantillo4Giuseppe Re5Biagio Bonanno6Mario Finazzo7Daniela Maria Palma8UOC Emergenza Urgenza 118 e servizio di Medicina Iperbarica ARNAS Civico Di Cristina Benfratelli Palermo ItalyUOC Emergenza Urgenza 118 e servizio di Medicina Iperbarica ARNAS Civico Di Cristina Benfratelli Palermo ItalyUOC Emergenza Urgenza 118 e servizio di Medicina Iperbarica ARNAS Civico Di Cristina Benfratelli Palermo ItalyUOC Emergenza Urgenza 118 e servizio di Medicina Iperbarica ARNAS Civico Di Cristina Benfratelli Palermo ItalyUOC Emergenza Urgenza 118 e servizio di Medicina Iperbarica ARNAS Civico Di Cristina Benfratelli Palermo ItalyUOC Emergenza Urgenza 118 e servizio di Medicina Iperbarica ARNAS Civico Di Cristina Benfratelli Palermo ItalyUOC Emergenza Urgenza 118 e servizio di Medicina Iperbarica ARNAS Civico Di Cristina Benfratelli Palermo ItalyDipartimento di Diagnostica per Immagini ARNAS Civico Di Cristina Benfratelli Palermo ItalyUOC Emergenza Urgenza 118 e servizio di Medicina Iperbarica ARNAS Civico Di Cristina Benfratelli Palermo ItalyAbstract Kienböck disease, also known as lunatomalacia, is a rare condition which can lead to progressive wrist pain and abnormal carpal motion. We present the case of a 30‐year‐old patient with Down syndrome who came to our observation for treatment of stage III C Kienböck disease. In September 2019, the patient reported wrist pain with limitation in movements and initially underwent conservative treatment without benefit. In October 2020, pain symptoms and difficult movements with reduced strength worsened and surgical treatment was proposed, but the patient and his family declined. Thereby the patient underwent conservative treatment with hyperbaric oxygen therapy (HBOT) 60 sessions, 100% oxygen at 2.5 absolute atmospheres (ATA), oxygen total time 60 min, once daily, five times per week. After 6 months, a positive clinical and radiological evolution were 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 stage III C Kienböck's disease in Down's syndrome patient treated with HBOT.https://doi.org/10.1002/ccr3.6524aseptic necrosishyperbaric oxygen therapyKienbock diseaseLunatomalaciaosteonecrosis |
| spellingShingle | Andrea N. Cracchiolo Fabio Genco Rosalia Lo Bue Marco Palmeri Diego Tantillo Giuseppe Re Biagio Bonanno Mario Finazzo Daniela Maria Palma Hyperbaric oxygen therapy in stage III C Kienböck disease: Time is bone Clinical Case Reports aseptic necrosis hyperbaric oxygen therapy Kienbock disease Lunatomalacia osteonecrosis |
| title | Hyperbaric oxygen therapy in stage III C Kienböck disease: Time is bone |
| title_full | Hyperbaric oxygen therapy in stage III C Kienböck disease: Time is bone |
| title_fullStr | Hyperbaric oxygen therapy in stage III C Kienböck disease: Time is bone |
| title_full_unstemmed | Hyperbaric oxygen therapy in stage III C Kienböck disease: Time is bone |
| title_short | Hyperbaric oxygen therapy in stage III C Kienböck disease: Time is bone |
| title_sort | hyperbaric oxygen therapy in stage iii c kienbock disease time is bone |
| topic | aseptic necrosis hyperbaric oxygen therapy Kienbock disease Lunatomalacia osteonecrosis |
| url | https://doi.org/10.1002/ccr3.6524 |
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