Abstract
The lunate is the keystone of the wrist, and the primary pathological structure of Kienböck’s avascular necrosis. The normal lunate has a thin single layer of proximal subchondral bone plate, which is at risk of fracture, which does occur in Kienböck’s disease. There are spanning trabeculae between the proximal and thick distal subchondral bone plate. The Kienböck’s avascular necrosis “at-risk” wrist includes a radius with negative ulnar variance and flatter radial inclination. The lunate is small with a thin proximal cortex and is a Viegas type 1 and Zapico type 1 lunate.
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References
Garn SM, Rohmann CG. Variability in the order of ossification of the bony centers of the hand and wrist. Am J Phys Anthropol. 1960;18:219–30.
O’Rahilly R. Developmental deviations in the carpus and the tarsus. Clin Orthop. 1957;10:9–18.
Viegas SF, Wagner K, Patterson R, Peterson P. Medial (hamate) facet of the lunate. J Hand Surg Am. 1990;15(4):564–71.
Zapico J. Enfermedad de Kienbock. Rev Ortop Traumatol. 1993;37 Suppl 1:100–13.
Zapico J. Malacia del semilunar. Valladolid: Universidad de Valladolid; 1966.
Tatebe M, Imaeda T, Hirata H. The impact of lunate morphology on Kienbock’s disease. J Hand Surg Eur Vol. 2015;40:534.
Tatebe M, Shinohara T, Okui N, Yamamoto M, Kurimoto S, Hirata H. Arthroscopic lunate morphology and wrist disorders. Surg Radiol Anat. 2013;35(1):79–83.
Rhee PC, Moran SL, Shin AY. Effect of lunate morphology in Kienbock disease. 29th International Wrist Investigators’ Workshop; 2013; Moscone West Convention Center, San Francisco, CA.
Owers KL, Scougall P, Dabirrahmani D, Wernecke G, Jhamb A, Walsh WR. Lunate trabecular structure: a radiographic cadaver study of risk factors for Kienbock’s disease [corrected]. J Hand Surg Eur Vol. 2010;35(2):120–4.
Hùlten O. Über anatomische variationen der handgelenkknochen. Acta Radiol. 1928;9:155–68.
Stahl S, Reis ND. Traumatic ulnar variance in Kienbock’s disease. J Hand Surg Am. 1986;11(1):95–7.
Gelberman RH, Bauman TD, Menon J, Akeson WH. The vascularity of the lunate bone and Kienbock’s disease. J Hand Surg Am. 1980;5(3):272–8.
Chen WS, Shih CH. Ulnar variance and Kienbock’s disease. An investigation in Taiwan. Clin Orthop Relat Res. 1990;255:124–7.
Tsuge S, Nakamura R. Anatomical risk factors for Kienbock’s disease. J Hand Surg Br. 1993;18(1):70–5.
Low S, Bain GI, Findlay DM, Eng K, Perilli E. External and internal bone micro-architecture in normal and Kienböck’s lunates: a whole-bone micro-computed tomography study. J Orthop Res. 2014;32(6):826–33.
Bain G, Yeo CJ, Morse LP. Kienböck disease: recent advances in the basic science. Assessment and treatment. Hand Surg. 2015;20(3):352–65.
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Yeo, C.J., Bain, G.I., Perilli, E. (2016). Osseous Anatomy and Microanatomy of the Lunate. In: Lichtman, D., Bain, G. (eds) Kienböck’s Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-34226-9_2
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DOI: https://doi.org/10.1007/978-3-319-34226-9_2
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