Kienböck (pronounced “Keen-bock”) disease, or lunatomalacia, is a painful disorder of the wrist, in which there are histologic and radiologic changes showing avascular necrosis of th...
Stage I: normal architecture and bone density; may be either a linear or a compression fracture
Stage II: definite densi...
Acute treatment
Immobilization:
In initial stages, immobilization for 7 days is a reasonable first step because synovitis and tenosynovitis usually resolve, and examination may become mor...
A continuu...
Bain GI, Begg M. Arthroscopic assessment and classification of Kienböck’s disease. Tech Hand Up Extrem Surg. 2006;10(1):8–13.
Bonzar M, Firrell JC, Hainer M, et al. Kienböck di...
Most commonly seen in ages 20 to 40 yr with a predilection to the right hand
Previous wrist trauma, repetitive trauma, and negative ulnar variance are predisposing factors.
X-ray shows s...
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