Kienböck's disease

The Journal of Hand Surgery
Pedro K Beredjiklian

Abstract

Osteonecrosis of the lunate, Kienböck's disease, is a progressive, debilitating disease process that can lead to chronic pain and dysfunction. Despite its recognition almost 100 years ago, the etiology remains unidentified, although mechanical, vascular, and traumatic factors have been implicated. The natural history of this disease is poorly defined, and the radiographic appearance does not always correlate with the clinical findings. Some progress has been made in the identification and an understanding of the progression of the avascular process and its deleterious effects on wrist mechanics. Initial treatment is nonsurgical. Advances in surgical techniques with vascularized pedicled grafts from the distal radius may lead to an improvement in outcomes for patients in the earlier stages of disease, although much more work is needed to determine whether this surgical option represents an improvement over conventional treatment alternatives. Recent reports of long-term outcomes of radial shortening osteotomy for earlier stages of osteonecrosis and proximal row carpectomy for advanced Kienböck's disease reveal that these procedures provide reliable options for the long-term management of this difficult clinical problem.

References

Jul 1, 1983·The Journal of Hand Surgery·R H GelbermanM Baumgaertner
Jul 1, 1983·The Journal of Hand Surgery·J S PanagisM Baumgaertner
May 1, 1980·The Journal of Hand Surgery·R H GelbermanW H Akeson
Aug 1, 1994·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·R C Bochud, U Büchler
Jan 1, 1996·The Journal of Hand Surgery·G D Salomon, R G Eaton
May 8, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·O DelaereG Foucher
Sep 16, 2000·The Journal of Bone and Joint Surgery. British Volume·J SalmonI A Trail
Apr 3, 2001·The Journal of Hand Surgery·A A IllarramendiP De Carli
Apr 3, 2001·The Journal of the American Academy of Orthopaedic Surgeons·C H AllanD M Lichtman
Aug 7, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M GablM Rieger
Feb 4, 2003·The Journal of Hand Surgery·Charles A GoldfarbMartin I Boyer
Dec 4, 2003·The Journal of Hand Surgery·Shukuki KohHiroki Yajima
Jan 31, 2004·The Journal of Hand Surgery·Prue P A KeithIan Trail
Feb 1, 2005·The Journal of Hand Surgery·Steven L MoranAlexander Y Shin
Sep 3, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·L De SmetI Degreef
Oct 6, 2005·International Orthopaedics·A D TambeJ K Stanley
Dec 14, 2005·The Journal of Hand Surgery·Jared P Wagner, Kevin C Chung
Apr 22, 2006·Techniques in Hand & Upper Extremity Surgery·Gregory I Bain, Malcolm Begg
Apr 25, 2006·The Journal of Hand Surgery·Andreas SchweizerClaudia Meuli-Simmen
Nov 14, 2006·Hand Clinics·Jeffrey Luo, Edward Diao
Dec 6, 2006·The Orthopedic Clinics of North America·Steven L Moran, Alexander Y Shin
Feb 22, 2007·Clinical Orthopaedics and Related Research·E E J RavenR K Marti
Feb 8, 2008·The Journal of Bone and Joint Surgery. British Volume·F SchuindP Ledoux
Apr 15, 2008·The Journal of Hand Surgery·Boyd C LumsdenWilliam D Engber
Aug 5, 2008·The Journal of Bone and Joint Surgery. American Volume·Tadayoshi WatanabeToshihiko Ogino
Sep 3, 2008·The Journal of Hand Surgery·Alexander S Croog, Peter J Stern

❮ Previous
Next ❯

Citations

May 3, 2014·Advanced Emergency Nursing Journal·Yvonne McCague
Jan 16, 2014·Hand : Official Journal of the American Association for Hand Surgery·Adi WollsteinRonit Wollstein
Jan 24, 2016·Skeletal Radiology·Carissa WhiteBenjamin Plotkin
May 5, 2010·The Journal of Hand Surgery·Lindsay Innes, Robert J Strauch
Jul 20, 2011·Ultrasound in Medicine & Biology·Cristina D'AgostinoValerio Sansone
Feb 25, 2011·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Masaki ShinTakaaki Shinohara
Dec 5, 2013·The Journal of Hand Surgery, European Volume·T ViljakkaM Vastamäki
May 23, 2013·The Journal of Hand Surgery, European Volume·T ViljakkaM Vastamäki
Mar 10, 2017·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Ryosuke IkeguchiJunya Toguchida
Apr 12, 2015·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·T ViljakkaM Vastamäki
Nov 30, 2014·The Journal of Hand Surgery, European Volume·A CitlakM Sener
Dec 12, 2012·The Journal of Hand Surgery, European Volume·A AfsharZ Yekta
Mar 10, 2012·The Journal of Hand Surgery, European Volume·Ahmadreza Afshar
Jul 19, 2018·The Journal of Bone and Joint Surgery. American Volume·Young Ho ShinJun O Yoon
Mar 26, 2019·The Journal of Hand Surgery, European Volume·Young Ho ShinJae Kwang Kim
Jan 1, 2013·JBJS Case Connector·John T CapoJared Preston
Feb 11, 2012·The Journal of Bone and Joint Surgery. British Volume·R Rodrigues-PintoA Oliveira
Feb 15, 2013·Experimental and Therapeutic Medicine·Qishun HuangZhenbing Chen
Mar 5, 2011·Internal Medicine·Shunsuke YamadaKazuhiko Tsuruya
Oct 27, 2017·Experimental and Therapeutic Medicine·Hui LuZhenfeng Liu
Jan 1, 2014·International Scholarly Research Notices·Mohammad DehghaniMaryam Gholshahi
Jun 7, 2017·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Zi-Run XiaoYou-le Zhang
Feb 11, 2021·Plastic and Reconstructive Surgery·Andres A MaldonadoAlexander Y Shin
Apr 20, 2021·Journal of Hand and Microsurgery·Brian M KattPedro K Beredjiklian
Dec 1, 2010·The Journal of Hand Surgery·Ahmadreza Afshar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Bone and Joint Surgery. British Volume
F SchuindP Ledoux
The Journal of Hand Surgery
Nader Paksima, Angelo Canedo
Archives of Orthopaedic and Trauma Surgery
Taçkin OzalpGuvenir Okçu
© 2021 Meta ULC. All rights reserved