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Orthopedic Surgery Clerkship pp 153–156Cite as

Kienbock’s Disease (Lunatomalacia)

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Abstract

Avascular necrosis of the lunate (Kienbock’s disease) is a rare problem, affecting a very small portion of the population. Changes in the blood flow and anatomical variations are blamed for the problem. It was classified by Lichtman. Treatment is based on classification and varies from splinting to osteotomy.

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References

  1. Palmer A, Benoit M. Lunate fractures: kienböck’s disease. In: Cooney W, Linscheid R, Dobyns J, editors. The wrist: diagnosis and operative treatment. Philadelphia: PA, Mosby; 1998. p. 431–73.

    Google Scholar 

  2. Taniguchi Y, Yoshida M, Iwasaki H, Otakara H, Iwata S. Kienböck’s disease in elderly patients. J Hand Surg [Am]. 2003;28(5):779–83.

    Article  Google Scholar 

  3. McMurtry RY, Youm Y, Flatt AE, Gillespie TE. Kinematics of the wrist: II. Clinical applications. J Bone Joint Surg Am. 1978;60(7):955–61.

    Article  CAS  PubMed  Google Scholar 

  4. Szabo RM, Greenspan A. Diagnosis and clinical findings of Kienböck’s disease. Hand Clin. 1993;9(3):399–408.

    CAS  PubMed  Google Scholar 

  5. Freedman DM, Botte MJ, Gelberman RH. Vascularity of the carpus. Clin Orthop Relat Res. 2001;383:47–59.

    Article  Google Scholar 

  6. Gelberman RH, Bauman TD, Menon J, Akeson WH. The vascularity of the lunate bone and Kienböck's disease. J Hand Surg [Am]. 1980;5(3):272–8.

    Article  CAS  Google Scholar 

  7. Hulten O. Uber Anatomische Variationen der Hand Gelenkknochen. Acta Radiol. 1928;9:155–69.

    Article  Google Scholar 

  8. Mirabello SC, Rosenthal DI, Smith RJ. Correlation of clinical and radiographic findings in Kienböck’s disease. J Hand Surg [Am]. 1987;12(6):1049–54.

    Article  CAS  Google Scholar 

  9. Tsuge S, Nakamura R. Anatomical risk factors for Kienböck’s disease. J Hand Surg [Br]. 1993;18(1):70–5.

    Article  CAS  Google Scholar 

  10. Armistead RB, Linsheid RL, Dobyns JH, Beckenbaugh RD. Ulnar lengthening in the treatment of Kienböck’s disease. J Bone Joint Surg Am. 1982;64(2):170–8.

    Article  CAS  PubMed  Google Scholar 

  11. Beckenbaugh RD, Schieves TC, Dobyns JH, Linsheid RL. Kienböck's disease: The natural history of Kienböck's disease and consideration of lunate fractures. Clin Orthop Relat Res. 1980;149:98–106.

    Google Scholar 

  12. Chen WS, Shih CH. Ulnar variance and Kienböck’s disease: an investigation in Taiwan. Clin Orthop Relat Res. 1990;255:124–7.

    Google Scholar 

  13. Gelberman RH, Salaman PB, Jurist JM, Posch JL. Ulnar variance in Kienböck’s disease. J Bone Joint Surg Am. 1975;57(5):674–6.

    Article  CAS  PubMed  Google Scholar 

  14. D'Hoore K, DeSmet L, Verellen K, Vral J, Fabry G. Negative ulnar variance is not a risk factor for Kienböck’s disease. J Hand Surg [Am]. 1994;19(2):229–31.

    Article  Google Scholar 

  15. Nakamura R, Imaeda T, Miura T. Radial shortening for Kienböck’s disease: Factors affecting the operative result. J Hand Surg [Br]. 1990;15(1):40–5.

    Article  CAS  Google Scholar 

  16. Lichtman DM, Mack GR, MacDonald RI, Gunther SF, Wilson JN. Kienböck’s disease: the role of silicone replacement arthroplasty. J Bone Joint Surg Am. 1977;59(7):899–908.

    Article  CAS  PubMed  Google Scholar 

  17. Keith PP, Nuttall D, Trail I. Long-term outcome of nonsurgically managed Kienbock's disease. J Hand Surg [Am]. 2004;29(1):63–7.

    Article  Google Scholar 

  18. Bozentka D, Beredjiklan P. Kienbock’s Disease. Orthopedic Knowledge Online Journal. 2007;5(1):1–45.

    Google Scholar 

  19. Trumble T, Glisson RR, Seaver AV, Urbaniak JR. A biomechanical comparison of the methods for treating Kienböck’s disease. J Hand Surg [Am]. 1986;11(1):88–93.

    Article  CAS  Google Scholar 

  20. Horii E, Garcia-Elias M, Bishop AT, Cooney WP, Linscheid RL, Chao EY. Effect on force transmission across the carpus in procedures used to treat Kienböck's disease. J Hand Surg [Am]. 1990;15(3):393–400.

    Article  CAS  Google Scholar 

  21. Matsui Y, Funakoshi T, Motomiya M, Urita A, Minami M, Iwasaki N. Radial shortening osteotomy for Kienbock disease: minimum 10-year follow-up. J Hand Surg [Am]. 2014;39(4):679–85.

    Article  Google Scholar 

  22. Ebrahimzadeh MH, Moradi A, Vahedi E, Kachooei AR. Mid-term clinical outcome of radial shortening for kienbock disease. J Res Med Sci. 2015;20(2):146–9.

    PubMed  PubMed Central  Google Scholar 

  23. Quenzer DE, Dobyns JH, Linscheid RL, Trail IA, Vidal MA. Radial recession osteotomy for Kienböck's disease. J Hand Surg [Am]. 1997;22(3):386–95.

    Article  CAS  Google Scholar 

  24. Weiss AP, Weiland A, Moore R. Radial shortening osteotomy for Kienböck's disease. J Bone Joint Surg Am. 1991;73:384–91.

    Article  CAS  PubMed  Google Scholar 

  25. Rock MG, Roth JH, Martin L. Radial shortening osteotomy for treatment of Kienböck's disease. J Hand Surg [Am]. 1991;16(3):454–60.

    Article  CAS  Google Scholar 

  26. Viola RW, Piser PK, Bach AW, Hanel DP, Tencer AF. Biomechanical analysis of capitate shortening with capitate hamate fusion in the treatment of Kienböck's disease. J Hand Surg [Am]. 1998;23(3):395–401.

    Article  CAS  Google Scholar 

  27. Hanel D, Hunt T. Capitate shortening osteotomy. Atlas Hand Clin. 1999;4(2):45–58.

    Google Scholar 

  28. Almquist EE. Capitate shortening in the treatment of Kienböck's disease. Hand Clin. 1993;9(3):505–12.

    CAS  PubMed  Google Scholar 

  29. Rhee PC, Lin IC, Moran SL, Bishop AT, Shin AY. Scaphocapitate arthrodesis for Kienbock disease. J Hand Surg [Am]. 2015;40(4):745–51.

    Article  Google Scholar 

  30. Xu Y, Li C, Zhou T, Su Y, He X, Fan X, et al. Treatment of aseptic necrosis of the lunate bone (Kienbock disease) using a nickel-titanium memory alloy arthrodesis concentrator: a series of 24 cases. Medicine (Baltimore). 2015;94(42):e1760.

    Article  CAS  Google Scholar 

  31. Rhee PC, Jones DB, Moran SL, Shin AY. The effect of lunate morphology in Kienbock disease. J Hand Surg [Am]. 2015;40(4):738–44.

    Article  Google Scholar 

  32. Chim H, Moran SL. Long-term outcomes of proximal row carpectomy: a systematic review of the literature. J Wrist Surg. 2012;1(2):141–8.

    Article  PubMed  PubMed Central  Google Scholar 

  33. DiDonna ML, Kiefhaber T, Stern P. Proximal row carpectomy: Study with a minimum of ten years of followup. J Bone Joint Surg Am. 2004;86(11):2359–65.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. University of South Florida, 4202 East Fowler Ave, Tampa, FL, 33620, USA

    Francisco A. Schwartz-Fernandes & James Vogler

Authors
  1. Francisco A. Schwartz-Fernandes
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  2. James Vogler
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Corresponding author

Correspondence to James Vogler .

Editor information

Editors and Affiliations

  1. Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA

    Adam E. M. Eltorai

  2. Department of Orthopedic Surgery, Division of Pediatric Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

    Craig P. Eberson

  3. Department of Orthopaedic Surgery, Division of Spine Surgery, Rhode Island Hospital, Providence, Rhode Island, USA

    Alan H. Daniels

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Schwartz-Fernandes, F.A., Vogler, J. (2017). Kienbock’s Disease (Lunatomalacia). In: Eltorai, A., Eberson, C., Daniels, A. (eds) Orthopedic Surgery Clerkship. Springer, Cham. https://doi.org/10.1007/978-3-319-52567-9_34

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  • DOI: https://doi.org/10.1007/978-3-319-52567-9_34

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52565-5

  • Online ISBN: 978-3-319-52567-9

  • eBook Packages: MedicineMedicine (R0)

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