Kienbock Disease: Moving Forward

被引:42
作者
Lichtman, David M. [1 ]
Pientka, William F., II [2 ]
Bain, Gregory I. [3 ]
机构
[1] Univ N Texas, Hlth Sci Ctr, Dept Orthopaed Surg, 4958 Overton Woods Ct, Ft Worth, TX 76109 USA
[2] John Peter Smith Hosp, Dept Orthopaed Surg, Ft Worth, TX 76104 USA
[3] Flinders Univ S Australia, Dept Orthopaed Surg, Adelaide, SA 5001, Australia
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2016年 / 41卷 / 05期
关键词
Kienbock; lunate; osteonecrosis; avascular; lunatomalacia; SCAPHOTRAPEZOIDAL JOINT FIXATION; NEGATIVE ULNAR VARIANCE; PROXIMAL ROW CARPECTOMY; CORE DECOMPRESSION; TRAPEZOIDAL JOINT; ELDERLY-PATIENT; LUNATE; BONE; IMPLANT; RADIUS;
D O I
10.1016/j.jhsa.2016.02.013
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Over the past decade, a plethora of new information has been reported regarding etiology, natural history, classification, and treatment options for lunate osteonecrosis. New disease classifications have been described based on advanced imaging determination of lunate viability as well as a cartilage-based arthroscopic classification. Here we review the newest literature regarding Kienbock disease and present a new treatment algorithm that incorporates the traditional osseous classification system with a perfusion/viability classification and an articular cartilage -based classification.
引用
收藏
页码:630 / 638
页数:9
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