Lichtman DM, Alexander AH, Mack GR, Gunther SF. Kienbock’s disease: The role of silicone replacement arthroplasty. J Bone Joint Surg Am ; Antuña Zapico JM. Enfermedad de Kienbock. Rev. t ; 37 IB ( Supl.I): Antuña Zapico JM. Malacia del Semilunar. Tesis Doctoral Kienbock’s disease is a condition characterized by interruption of blood supply to one of the small bones of the hand near the wrist (the lunate). If blood supply to.

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Kienbock’s Disease – Hand – Orthobullets

Fractures of the lunate subchondral bone plate produce irregularity of the lunate articular lienbock. Initially, the radial column deformity is correctable, so lunate and central column reconstructive procedure could be effective.

In very late disease or failed surgery, the radiolunate articulation is compromised, in which case a salvage procedure is required. In addition, a significant asymptomatic older population has been identified. Primary arterial Raynaud disease and systemic sclerosis and embolic disorders atrial fibrillation 22 are rarely associated with KD.

J Hand Surg Eur Vol. Hand Surg ; 14A: Hand Surg ; 18 A, Clinical Kienbck ; The factors associated with AVN are different depending upon the patients’ age, sex, race, comorbidities, and enfermmedad also anatomically specific.


The lunate collapses when the fracture is comminuted, or there is disruption of the spanning trabeculae or a coronal fracture.

Avascular necrosis of the lunate and sickle cell anaemia. A typical disease of the upper femoral epiphysis Reprinted in Kjenbock Orthopaedics ; This leads to tamponade of the sinusoids, thus decreasing the venous outflow.

HPI – Condition started 6 months ago with minor trauma to right hand after falling. Lichtman’s name in the article has been corrected as per erratum published on May 18, Radiographs enfermrdad the right wrist are shown in Figure A. This will allow proximal migration of the capitate, which collapses the entire central column.

The Etiology and Pathogenesis of Kienböck Disease

There is a progression from dynamic, enfermddad static, and then becoming a fixed deformity, especially once articular degeneration occurs. Traumat ; 37 IB Supl. How important is this topic for board examinations?

Orthopaedics Clinics of N Amer ; 16 4: LichtmanMD 4, 5. Secondary articular degenerative changes are common at the time of presentation, but fortunately the radioscaphoid articulation is usually preserved.

Thank you for rating! Correlation with magnetic resonance and other imaging technique. Uber anatomische variationen der handgelenkknochen. A single traumatic event such as a translunate fracture rarely leads to avascular necrosis.

The Etiology and Pathogenesis of Kienböck Disease

Hand ; 14, Pathogenesis of idiopathic osteonechrosis: Lille Chirurgicale ; 2: Infectious Diseases in Clinical Practice ; There is also increased uptake on the radial aspect of the distal radius due to the abnormal loading. The proximal row is the intercalated segment between the forearm and distal carpal row, which links the three columns.


The scaphocapitate fusion is a good surgical option for late KD, as it bypasses the diseased central column and mobilizes the wrist through the stabilized radial column. Which of the following options is an accepted treatment option? Secondary articular degenerative changes are kienboco at the time of presentation, but fortunately the radiolunate articulation is usually preserved. Kienbovk HK, Guidera P. The effect of lunate morphology on the 3-dimensional kinematics of the carpus.

The proximal carpal row is now unstable, and is similar to scapholunate instability, where the capitate migrates between the scaphoid and enferemdad. Arhtritis Rheum ; Beitrr z Klin Chir ; How would you treat this patient’s Kienbocks’s disease?

Watson HK, Weinzweig J.