Kienböck disease

Orthop Clin North Am. 2014 Jan;45(1):141-52. doi: 10.1016/j.ocl.2013.09.004. Epub 2013 Oct 8.

Abstract

Kienböck disease, or osteonecrosis of the lunate, most often affects patients between the ages of 20 and 40 years. There are 4 major stages of the disease, and treatment is based on the stage of disease. Advancements are still being made with regards to the cause, pathophysiology, and preferred method of treatment of each stage. Although the goals of pain relief, motion preservation, strength maintenance, and function outcomes are paramount to success, no 1 procedure consistently and reliably achieves these outcomes. Further advancements in treatment and results of long-term outcome studies should resolve some of these topics.

Keywords: Avascular necrosis; Kienböck; Kienböck disease; Lunate; Lunate AVN; Lunate osteonecrosis.

Publication types

  • Review

MeSH terms

  • Arthralgia / etiology
  • Arthrodesis / methods
  • Carpal Joints / pathology
  • Carpal Joints / physiopathology
  • Carpal Joints / surgery*
  • Decompression, Surgical / methods
  • Disease Management
  • Disease Progression
  • Humans
  • Lunate Bone / blood supply*
  • Lunate Bone / diagnostic imaging
  • Osteonecrosis* / complications
  • Osteonecrosis* / diagnosis
  • Osteonecrosis* / physiopathology
  • Osteonecrosis* / surgery
  • Osteotomy / methods
  • Outcome Assessment, Health Care
  • Radiography
  • Range of Motion, Articular
  • Regional Blood Flow
  • Vascular Surgical Procedures / methods