Kienböck Disease: Moving Forward

Over the past decade, a plethora of new information has been reported regarding etiology, natural history, classification, and treatment options for lunate osteonecrosis. New disease classifications have been described based on advanced imaging determination of lunate viability as well as a cartilag...

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Bibliographic Details
Published in:	The Journal of hand surgery (American ed.) Vol. 41; no. 5; pp. 630 - 638
Main Authors:	Lichtman, David M., MD, Pientka, William F., MD, Bain, Gregory I., MBBS, PhD
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-05-2016
Subjects:	Adolescent Adult Aged Algorithms avascular Child Hand Bones Humans Kienböck lunate lunatomalacia Middle Aged Orthopedics osteonecrosis Osteonecrosis - classification Osteonecrosis - diagnosis Osteonecrosis - surgery Young Adult avascular lunate osteonecrosis lunatomalacia Kienböck
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Summary:	Over the past decade, a plethora of new information has been reported regarding etiology, natural history, classification, and treatment options for lunate osteonecrosis. New disease classifications have been described based on advanced imaging determination of lunate viability as well as a cartilage-based arthroscopic classification. Here we review the newest literature regarding Kienböck disease and present a new treatment algorithm that incorporates the traditional osseous classification system with a perfusion/viability classification and an articular cartilage-based classification.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	0363-5023 1531-6564
DOI:	10.1016/j.jhsa.2016.02.013