Kienböck's disease

Fontaine, C.

doi:10.1016/j.main.2014.10.149

Cited by 43 publications

(56 citation statements)

References 72 publications

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“…The clinical presentation of pediatric Kienböck disease is similar to the adults, with dorsal tenderness, swelling, reduced wrist motion, and grip strength. 5,7,8 However, the prognosis is better in the pediatric and elderly patients, than the typical 20-to 40-year-old patient. 7 Irisarri et al 9 divided pediatric Kienböck disease into infantile (12 years and younger) and juvenile (13 years to skeletal maturity).…”

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confidence: 99%

Kienböck Disease: A New Algorithm for the 21st Century

2016

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Background It has been over 100 years since the initial description of avascular necrosis of the lunate. Over the last two decades, there has been the introduction of advanced information regarding the etiology, natural history, classification, and treatment options for lunate osteonecrosis. There have been new classifications developed based on advanced imaging, perfusion studies of lunate viability, and arthroscopic assessment of the articular cartilage. Purpose This article brings together a new treatment algorithm, incorporating the traditional osseous classification system (Lichtman) with the perfusion/viability classification (Schmitt) and the articular cartilage classification (Bain). Methods We have developed a new algorithm to manage Kienböck avascular necrosis of the lunate. This new algorithm incorporates the current concepts of the diseased lunate and its effects on the remainder of the wrist. Conclusion For patients with a good prognosis and in the earliest stages, the "intact lunate" is initially protected utilizing nonoperative measures. If this fails, then appropriate lunate unloading procedures should be considered. If the lunate is "compromised" then it can be reconstructed with a medial femoral condyle graft or proximal row carpectomy (PRC). With the further collapse of the lunate, the wrist is then also compromised, with the development of secondary degeneration of the central column articulation. The "compromised wrist" will have functional articulations, which allows motion-preserving procedures to be utilized to maintain a functional wrist. With advanced disease (Kienböck disease advanced collapse), the wrist is not reconstructable, so only a salvage procedure can be performed. Other than these objective pathoanatomical factors, the final decision must accommodate the various patient factors (e.g., age, general health, lifestyle, financial constraints, and future demands on the wrist) and surgeon factors (skill set, equipment, and work environment).

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confidence: 99%

Kienböck Disease: A New Algorithm for the 21st Century

2016

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“…Kienböck's disease is defined as avascular osteonecrosis of part or all of the lunate, which progresses through several stages if not treated or treated with preservation of the lunate [1,2]. It was first described in 1843 by Peste [3]; and in 1910, Kienböck [4] was the first who recommended to use the term lunatomalacia, and correctly hypothesized that the disease was precipitated by an interruption of the nutrition of the bone as a result of a traumatic insult.…”

Section: To the Editormentioning

confidence: 99%

“…It was first described in 1843 by Peste [3]; and in 1910, Kienböck [4] was the first who recommended to use the term lunatomalacia, and correctly hypothesized that the disease was precipitated by an interruption of the nutrition of the bone as a result of a traumatic insult. However, the etiology is still widely unknown, and many risk factors are discussed such as anatomical features (shape of lunate or distal radius, difference between distal end of radius and ulna, coverage of lunate by radius, arterial factors) and/or repetitive microtrauma potentially leading to subchondral stress fracture [1,5]. Lichtman et al [6] introduced in 1977 a modified classification with four broad stages which remains the most commonly used today, and stage IIIB, such as in our primarily suggested diagnosis in case presentation, is associated with lunate collapse and fixed scaphoid rotation.…”

Section: To the Editormentioning

confidence: 99%

Kienbck's disease mimicing gouty monoarthritis of the wrist

Schmidt¹

2017

IJCRI

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“…Osteonecrosis (ON) is defined as death of bone tissue due to the cessation of blood flow to the bone. It is mostly seen femoral head and condyles and humeral head besides the small bones of the hand such as lunatum and scaphoid [1]. The risk factors are trauma, corticosteroid use, immunosuppression, systemic lupus erythematosus, rheumatoid arthritis, alcohol, hemoglobinopathies and coagulopathies [2].…”

Section: Introductionmentioning

confidence: 99%

Lunate bone osteonecrosis in hemodialysis patient with rheumatoid arthritis: case report

Kalaoğlu

Buğdaycı

et al. 2019

Pamukkale Medical Journal

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Kienbock's disease is the osteonecrosis of lunate bone. Patients usually present with unilateral localized dorsal wrist swelling and pain that increase with movement. Direct radiographic and other imaging methods are used for diagnosis. Cautious evaluation of the radiological findings is substantial, because the management of the disease depends on radiological stage. Here, we present a 46-year-old woman with rheumatoid arthritis who admitted to the outpatient clinic of our hospital, because of pain, swelling and limitation of movement in the left wrist. We want to draw attention Kienbock's disease in patient with rheumatoid arthritis.

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Kienböck's disease

Cited by 43 publications

References 72 publications

Kienböck Disease: A New Algorithm for the 21st Century

Kienböck Disease: A New Algorithm for the 21st Century

Kienbck's disease mimicing gouty monoarthritis of the wrist

Lunate bone osteonecrosis in hemodialysis patient with rheumatoid arthritis: case report

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