Abstract
Kienböck’s disease is a condition thought to be caused or associated with a vascular disorder of the lunate. This chapter explores the vascular anatomy of the lunate and provides a clearer understanding of both the arterial and venous systems of the lunate. The normal anatomical variants are considered to be factors which place the individual at risk of developing Kienböck’s disease.
The arterial anatomy of the lunate has been described by Lee and Gelberman. There are cases with the single volar artery, which may be a risk factor for developing Kienböck’s avascular necrosis. Crock described the subarticular venous plexus, which is directly adjacent to the subchondral bone plate. Pichler described the volar and dorsal peri-lunate venous plexus.
These complex arterial and venous systems are important in the arterial supply and venous drainage of the lunate.
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Kienböck R. Concerning traumatic malacia of the lunate and its consequences: joint degeneration and compression. Fortsch Geb Roentgen. 1910;16:77–103.
Peltier LF. The classic. Concerning traumatic malacia of the lunate and its consequences: degeneration and compression fractures. Privatdozent Dr. Robert Kienbock. Clin Orthop Relat Res. 1980;149:4–8.
Müller W. Über die Erweichung und Verdichtung des Os Lunatum, eine Typische Erkrankung des Handgelenks. Beiträge Zur Klinischen Chirurgie. 1920;119:664.
Gelberman RH, Panagis JS, Taleisnik J, Baumgaertner M. The arterial anatomy of the human carpus. Part I: The extraosseous vascularity. J Hand Surg Am. 1983;8(4):367–75.
Lee ML. The intraosseus arterial pattern of the carpal lunate bone and its relation to avascular necrosis. Acta Orthop Scand. 1963;33:43–55.
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.
Crock HV. An atlas of vascular anatomy of the skeleton & spinal cord. 1st ed. London: Martin Dunitz; 1996.
Panagis JS, Gelberman RH, Taleisnik J, Baumgaertner M. The arterial anatomy of the human carpus. Part II: The intraosseous vascularity. J Hand Surg Am. 1983;8:375–82.
Lamas C, Carrera A, Proubasta I, Llusà M, Majó J, Mir X. The anatomy and vascularity of the lunate: considerations applied to Kienböck’s disease. Chirurg Main. 2007;26:13–20.
Pichler M, Putz R. The venous drainage of the lunate bone. Surg Radiol Anat. 2003;24:372–6.
Crock HV. The blood supply of the lower limb bones in man. Philadelphia, PA: Churchill Livingstone; 1967.
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.
Lluch A, Garcia-Elias M. Etiology of Kienbock’s disease. Tech Hand Up Extrem Surg. 2011;15(1):33–7.
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© 2016 Springer International Publishing Switzerland
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Chee, K.G., Yeo, C.J., Bain, G.I. (2016). Vascularity of the Lunate. In: Lichtman, D., Bain, G. (eds) Kienböck’s Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-34226-9_3
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DOI: https://doi.org/10.1007/978-3-319-34226-9_3
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