{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T08:22:05Z","timestamp":1787818925097,"version":"build-2784847793"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T00:00:00Z","timestamp":1611532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>We studied the kinematics of 20 wrists affected by Kienb\u00f6ck\u2019s disease using four-dimensional computed tomography (4-D-CT) scanning. Degenerative changes progressed from the lunate facet to the scaphoid fossa at the radiocarpal articulation, then involved the midcarpal joint. Lunate fracture types included coronal (14\/20), sagittal (10\/20) and ligament attachment-types (8\/20). Findings specific to dynamic scanning included the nutcracker phenomenon (12\/20), anterior radiolunate impingement (7\/20), internal instability of the lunate (6\/20), ulnar styloid triquetral impingement (3\/20) and dynamic proximal row instability (2\/20). Ulnocarpal translocation was found in 4\/20 cases. Dynamic 4-D-CT has helped us to identify a subset of pathology in Kienb\u00f6ck\u2019s disease on assessment of static imaging. Better understanding of these phenomena can improve our understanding of symptoms and may help direct surgical treatment.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/1753193420987790","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T21:34:33Z","timestamp":1611610473000},"page":"504-509","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Kinematics of the wrist in Kienb\u00f6ck\u2019s disease: a four-dimensional computed tomography study"],"prefix":"10.1177","volume":"46","author":[{"given":"Simon B. M.","family":"MacLean","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Tauranga Hospital, Bay of Plenty, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory I.","family":"Bain","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Flinders University, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"key":"bibr1-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.04.083"},{"key":"bibr2-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1583755"},{"key":"bibr3-1753193420987790","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/00003086-198601000-00007","volume":"202","author":"Belsole RJ","year":"1986","journal-title":"Clin Orthop Relat Res"},{"key":"bibr4-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1675564"},{"key":"bibr5-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198407000-00008"},{"key":"bibr6-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2003.50035"},{"key":"bibr7-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.01.003"},{"key":"bibr8-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410374690"},{"key":"bibr9-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2017.07.003"},{"key":"bibr10-1753193420987790","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199401000-00011"},{"key":"bibr11-1753193420987790","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/00003086-198006000-00008","volume":"149","author":"Taleisnik J","year":"1980","journal-title":"Clin Orthop Relat Res"},{"key":"bibr12-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.101B11.BJJ-2019-0361.R1"},{"key":"bibr13-1753193420987790","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408101465"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193420987790","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193420987790","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193420987790","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:45:43Z","timestamp":1777502743000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193420987790"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,25]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1177\/1753193420987790"],"URL":"https:\/\/doi.org\/10.1177\/1753193420987790","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,25]]}}}