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Scaphotrapeziotrapezoid and Scaphocapitate Fusion in Kienböck’s Disease

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Kienböck’s Disease

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Abstract

The lunate represents the central load-bearing column of the wrist and is critical to wrist function. The osteonecrosis of Kienböck’s disease compromises the load-bearing capabilities of the lunate. The principle of treatment for Kienböck’s disease, therefore, is to preserve the lunate and the architecture of the surrounding carpus by redirecting the loads traversing the wrist around the lunate rather than through it. The ability to adjust the scaphoid and then stabilize it with STT and SC fusion allows the scaphoid to take a load through the radial column of the wrist and effectively unloads the lunate in Kienböck’s disease, improving force transmission across the wrist and therefore grip strength.

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Authors and Affiliations

  1. The Hand Center, University of Connecticut, 195 Eastern Boulevard, Suite 200, Glastonbury, CT, 06033, USA

    Daniel J. Mastella MD & H. Kirk Watson MD

Authors
  1. Daniel J. Mastella MD
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  2. H. Kirk Watson MD
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Correspondence to Daniel J. Mastella MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA

    David M. Lichtman

  2. Department of Orthopedic Surgery, Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia

    Gregory Ian Bain

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Surgical technique for STT fusion (MP4 155,282 kb)

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Mastella, D.J., Watson, H.K. (2016). Scaphotrapeziotrapezoid and Scaphocapitate Fusion in Kienböck’s Disease. In: Lichtman, D., Bain, G. (eds) Kienböck’s Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-34226-9_21

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  • DOI: https://doi.org/10.1007/978-3-319-34226-9_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34224-5

  • Online ISBN: 978-3-319-34226-9

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