Superselective angiography of the wrist in patients with Kienböck’s disease
Abstract Background Microvascular problems like increased intraosseous pressure or venous congestion may influence the development of Kienböck’s disease. We examined if wrist position modifies the blood flow in the nutrient vessels. Methods Retrospective analysis of 17 patients with Kienböck’s disea...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-04-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-019-2492-5 |
| _version_ | 1818305662647533568 |
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| author | S. Kim F. Eichenauer A. Asmus S. Mutze A. Eisenschenk P. Honigmann |
| author_facet | S. Kim F. Eichenauer A. Asmus S. Mutze A. Eisenschenk P. Honigmann |
| author_sort | S. Kim |
| collection | DOAJ |
| description | Abstract Background Microvascular problems like increased intraosseous pressure or venous congestion may influence the development of Kienböck’s disease. We examined if wrist position modifies the blood flow in the nutrient vessels. Methods Retrospective analysis of 17 patients with Kienböck’s disease who had a superselective microangiography of the radial, ulnar and interosseous artery in different wrist positions under general anaesthesia. We analysed the data with Fisher’s exact and Wilcoxon-test. Results We found vessels that entered the bone, that ended at the bone edge, and that supplied a vascular plexus. The origins were the anterior interosseous artery in 10 of 17 cases, the radial artery in seven cases, and the ulnar artery in five cases. Movement of the wrist could reduce or stop the blood flow. Type of lunate configuration showed no significant influence on the blood supply in neutral position. Conclusion The radial, ulnar, and anterior interosseous artery contribute to the vascular supply of the lunate bone in different combinations. Wrist movement can reduce blood flow to the lunate bone. |
| first_indexed | 2024-12-13T06:30:09Z |
| format | Article |
| id | doaj.art-fb4bb84b8c32489e98dff15bba6272bb |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-13T06:30:09Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-fb4bb84b8c32489e98dff15bba6272bb2022-12-21T23:56:38ZengBMCBMC Musculoskeletal Disorders1471-24742019-04-012011810.1186/s12891-019-2492-5Superselective angiography of the wrist in patients with Kienböck’s diseaseS. Kim0F. Eichenauer1A. Asmus2S. Mutze3A. Eisenschenk4P. Honigmann5Abteilung für Hand-, Replantations- und Mikrochirurgie, Unfallkrankenhaus BerlinAbteilung für Hand-, Replantations- und Mikrochirurgie, Unfallkrankenhaus BerlinAbteilung für Hand-, Replantations- und Mikrochirurgie, Unfallkrankenhaus BerlinInstitut für Radiologie und Neuroradiologie, Unfallkrankenhaus BerlinAbteilung für Hand-, Replantations- und Mikrochirurgie, Unfallkrankenhaus BerlinAbteilung für Hand-, Replantations- und Mikrochirurgie, Unfallkrankenhaus BerlinAbstract Background Microvascular problems like increased intraosseous pressure or venous congestion may influence the development of Kienböck’s disease. We examined if wrist position modifies the blood flow in the nutrient vessels. Methods Retrospective analysis of 17 patients with Kienböck’s disease who had a superselective microangiography of the radial, ulnar and interosseous artery in different wrist positions under general anaesthesia. We analysed the data with Fisher’s exact and Wilcoxon-test. Results We found vessels that entered the bone, that ended at the bone edge, and that supplied a vascular plexus. The origins were the anterior interosseous artery in 10 of 17 cases, the radial artery in seven cases, and the ulnar artery in five cases. Movement of the wrist could reduce or stop the blood flow. Type of lunate configuration showed no significant influence on the blood supply in neutral position. Conclusion The radial, ulnar, and anterior interosseous artery contribute to the vascular supply of the lunate bone in different combinations. Wrist movement can reduce blood flow to the lunate bone.http://link.springer.com/article/10.1186/s12891-019-2492-5Kienböck’s diseaseLunateSuperselective microangiography |
| spellingShingle | S. Kim F. Eichenauer A. Asmus S. Mutze A. Eisenschenk P. Honigmann Superselective angiography of the wrist in patients with Kienböck’s disease BMC Musculoskeletal Disorders Kienböck’s disease Lunate Superselective microangiography |
| title | Superselective angiography of the wrist in patients with Kienböck’s disease |
| title_full | Superselective angiography of the wrist in patients with Kienböck’s disease |
| title_fullStr | Superselective angiography of the wrist in patients with Kienböck’s disease |
| title_full_unstemmed | Superselective angiography of the wrist in patients with Kienböck’s disease |
| title_short | Superselective angiography of the wrist in patients with Kienböck’s disease |
| title_sort | superselective angiography of the wrist in patients with kienbock s disease |
| topic | Kienböck’s disease Lunate Superselective microangiography |
| url | http://link.springer.com/article/10.1186/s12891-019-2492-5 |
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