What Is the Radiographic Prevalence of Incidental Kienböck Disease?

Clinical Orthopaedics and Related Research
Wouter F van LeeuwenDavid Ring

Abstract

Kienböck disease is characterized by osteonecrosis of the lunate. Not all patients with radiographic evidence of the disease experience symptoms bothersome enough to consult a doctor. Little research has been performed on the prevalence of Kienböck disease, and the prevalence in the asymptomatic population is unclear. Knowledge of the natural course of the disease and how often patients are not bothered by the symptoms is important, because it might influence the decision as to whether disease-modifying treatment would be beneficial. (1) What is the prevalence of incidental and symptomatic Kienböck disease? (2) What are the factors associated with incidental and symptomatic Kienböck disease? (3) Are there differences in Lichtman stage distribution between incidentally discovered and symptomatic Kienböck disease? We retrospectively searched radiology reports of all MRI scans, CT scans, and radiographs that included the wrists of 51,071 patients obtained over an 11-year period at one institution to screen for Kienböck disease and avascular necrosis of the lunate. Corresponding MR images, CT scans, or radiographs were reviewed by an orthopaedic hand surgeon to confirm the presence of Kienböck disease when the report was inconclusi...Continue Reading

References

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Jan 23, 2015·Orthopedics·Ritsu TsujimotoMakoto Osaki

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Citations

Jan 24, 2016·Skeletal Radiology·Carissa WhiteBenjamin Plotkin
Dec 7, 2018·Clinical Orthopaedics and Related Research·Colin Kennedy, Reid Abrams
Jul 28, 2019·The Journal of Hand Surgery, European Volume·Tony C-T HuangSteven L Moran

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