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Arthroscopic Assessment and Treatment of Kienböck’s Disease

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Kienböck’s Disease

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Abstract

Radiographic assessment of Kienböck’s disease has inherent limitations including the inability to directly assess the integrity of chondral surfaces. For this reason, wrist arthroscopy has become an indispensable tool in the assessment of lunate osteonecrosis. Arthroscopic classification can help guide the surgeon to the appropriate treatment option at each stage of the disease based on the status of the articular cartilage surfaces. Wrist arthroscopy is also useful in the treatment of this challenging disease. This chapter presents the benefits of wrist arthroscopy for evaluation and classification, and provides techniques and tips for utilizing arthroscopy in the surgical treatment of Kienböck’s disease.

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Author information

Authors and Affiliations

  1. Hand and Upper Extremity, Department of Orthopedic Surgery, Wake Forest University Baptist Hospital, 1 Medical Center Blvd., Winston Salem, NC, 27157, USA

    Benjamin R. Graves MD & George S. Gluck MD

  2. 8585 S. Eastern Avenue, Las Vegas, NV, 89123, USA

    George S. Gluck MD

  3. Department of Orthopedic Surgery, Wake Forest University Baptist Hospital, 131 Miller St., Winston Salem, NC, 27103, USA

    Gary G. Poehling MD, PhD

  4. Virginia Commonwealth University School of Medicine, 70386, Richmond, VA, 23255, USA

    Terry L. Whipple MD

  5. Department of Hand and Plastic Surgery, Hospital Mutua Montañesa, Paseo de Pereda 20-1, Santander, 39004, Spain

    Francisco del Piñal MD, DrMed

  6. Department of Orthopedic Surgery, Flinders University and Flinders Medical Centrer, Bedford Park, Adelaide, SA, Australia

    Gregory Ian Bain MBBS, FRACS, FA(Ortho)A, PhD (Professor, Upper Limb and Research)

Authors
  1. Benjamin R. Graves MD
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  2. George S. Gluck MD
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  3. Gary G. Poehling MD, PhD
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  4. Terry L. Whipple MD
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  5. Francisco del Piñal MD, DrMed
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  6. Gregory Ian Bain MBBS, FRACS, FA(Ortho)A, PhD
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Corresponding author

Correspondence to Benjamin R. Graves 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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© 2016 Springer International Publishing Switzerland

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Graves, B.R., Gluck, G.S., Poehling, G.G., Whipple, T.L., del Piñal, F., Bain, G.I. (2016). Arthroscopic Assessment and Treatment of Kienböck’s Disease. In: Lichtman, D., Bain, G. (eds) Kienböck’s Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-34226-9_13

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  • DOI: https://doi.org/10.1007/978-3-319-34226-9_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34224-5

  • Online ISBN: 978-3-319-34226-9

  • eBook Packages: MedicineMedicine (R0)

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