Kienböck Disease: Recent Advances in Understanding and Management

Author:

Lichtman David M.12ORCID,Pientka William F.2

Affiliation:

1. Department of Surgery, School of Medicine, Uniformed Services University, Bethesda, Maryland

2. Department of Orthopaedic Surgery, JPS Health Network, Fort Worth, Texas

Abstract

➢ An at-risk lunate (due to anatomic factors) subjected to a trigger event (axial load, embolism, hypercoagulability) leads to the development of lunate osteonecrosis.➢ Children, adolescents, and elderly patients with Kienböck disease respond well to nonoperative treatments, and this should be considered before any surgical intervention.➢ For disease limited to the lunate, treatment decisions should be driven by the condition of the cartilage; intact lunate cartilage can be treated with joint leveling or core decompression, whereas disrupted cartilage surfaces should be bypassed with scaphocapitate or scaphotrapeziotrapezoid arthrodesis. Newer surgical procedures such as wrist arthroscopy and the introduction of contrast-enhanced magnetic resonance imaging have expanded the treatment options for these patients.➢ Once disease extends outside of the lunate, reconstruction with proximal row carpectomy or partial or total wrist arthrodesis should be considered on the basis of which articular surfaces are affected.➢ The new unified classification system and treatment are applicable to almost all patients with Kienböck disease.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference108 articles.

1. Discussion;Peste;Bull Soc Anat Paris.,1843

2. Über traumatische Malazie des Mondbeins und ihre Folgezustände: Entartungsformen und Kompressionsfrakturen;Kienböck;Fortschr Geb Rontgenstr.,1910

3. Kienbock disease: still an enigma in the 21st century;Garcia-Elias;Patologia Del Aparato Locomotor.,2006

4. Kienböck disease: moving forward;Lichtman;J Hand Surg Am.,2016

5. Precision medicine for Kienböck disease in the 21st century;Lichtman;J Hand Surg Am.,2022

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.7亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2025 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3