{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T14:45:57Z","timestamp":1770821157567,"version":"3.50.1"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Kienbock's disease is an unusual disorder caused by osteonecrosis and the collapse of lunate bone which leads to pain and a chronic decrease in wrist function. The treatments in this disease aim to relieve pain and maintain wrist function and movement. Various surgical procedures have been recommended for the subjects with Kienbock's disease; however, the main question posed here is which of the selected procedures are more successful in relief of the pressure applied on lunate.<\/jats:p><jats:p>\n          Methods and Materials\u2003Computed tomography (CT) scan images of a normal subject were used to create a three-dimensional model of the wrist joint. The effects of several surgical procedures, including radial shortening, capitate shortening, and a combination of both radial and capitate shortening, on the joint contact force of the wrist bones were investigated.<\/jats:p><jats:p>\n          Results\u2003The pressure applied to the lunate bone in articulation with radius, scaphoid, capitate, hamate, and triquetrum varied between 19.7 and 45.4 MPa. The Von Mises stress, maximum principal stress, and minimum principal stress decreased in the model with a combination of radius and capitate shortening.<\/jats:p><jats:p>\n          Conclusion\u2003It can be concluded from the results of this study that the combinations of radius and capitate shortening seem to be an effective procedure to decrease joint pressure, if the combined surgery could not be done, shortening of radius or capitate would be recommended.<\/jats:p><jats:p>\n          Level of Evidence\u2003This is a Level III study.<\/jats:p>","DOI":"10.1055\/s-0041-1723976","type":"journal-article","created":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T20:15:41Z","timestamp":1613506541000},"page":"296-302","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Biomechanical Results about the Effect of Three Surgery Methods in Decompression of Lunate Bone"],"prefix":"10.1055","volume":"10","author":[{"given":"Hamid","family":"Namazi","sequence":"additional","affiliation":[{"name":"Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebrahim","family":"Ghaedi","sequence":"additional","affiliation":[{"name":"Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6162-8131","authenticated-orcid":false,"given":"Mohammad T.","family":"Karimi","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,15]]},"reference":[{"key":"ref1","first-page":"87","volume-title":"Anatomy of Gray","author":"J Leonard Jr","year":"2006"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/S0030-5898(20)31320-1","article-title":"Kienb\u00f6ck's disease","volume":"15","author":"R H Gelberman","year":"1984","journal-title":"Orthop Clin North Am"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1016\/j.jhsa.2010.02.002","article-title":"Systematic review of the treatment of Kienb\u00f6ck's disease in its early and late stages","volume":"35","author":"L Innes","year":"2010","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s11552-012-9470-9","article-title":"Long-term outcomes for Kienb\u00f6ck's disease","volume":"8","author":"G R Martin","year":"2013","journal-title":"Hand (N Y)"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.main.2012.03.001","article-title":"An international opinion research survey of the etiology, diagnosis, therapy and outcome of Kienb\u00f6ck's disease (KD)","volume":"31","author":"S Stahl","year":"2012","journal-title":"Chir Main"},{"key":"ref6","first-page":"215","article-title":"Die Bedeutung des intraoss\u00e4ren Druckes f\u00fcr Pathogenesis von Kienbock","volume":"28","author":"M Schiltenwolf","year":"1996","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"02","key":"ref7","first-page":"155","article-title":"\u00dcBER ANATOMISCHE VARIATIONEN DER HANDGELENKKNOCHEN: Ein Beitrag zur Kenntnis der Genese zwei verschiedener Mondbeinver\u00e4nderungen","volume":"os-9","author":"O Hult\u00e9n","year":"1928","journal-title":"Acta Radiologica"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1177\/1753193408090757","article-title":"A finite-element analysis of Kienbock's disease","volume":"33","author":"P Ledoux","year":"2008","journal-title":"J Hand Surg Eur Vol"},{"issue":"01","key":"ref9","first-page":"1","article-title":"Ulnar variance: facts and fiction review article","volume":"60","author":"L De Smet","year":"1994","journal-title":"Acta Orthop Belg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/0363-5023(94)90010-8","article-title":"Negative ulnar variance is not a risk factor for Kienb\u00f6ck's disease","volume":"19","author":"K D'Hoore","year":"1994","journal-title":"J Hand Surg Am"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/S0363-5023(87)80068-0","article-title":"Ulna-minus variance and Kienb\u00f6ck's disease","volume":"12","author":"P A Nathan","year":"1987","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1016\/S0363-5023(03)00490-8","article-title":"Surgical outcome of radial osteotomy for Kienb\u00f6ck's disease-minimum 10 years of follow-up","volume":"28","author":"S Koh","year":"2003","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref13","first-page":"142","article-title":"[Diagnosis and staging of lunate necrosis. 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