An Algorithmic Approach to the Treatment of Kienböck Disease

Joseph Catapano; James P Higgins

doi:10.1016/j.hcl.2022.03.005

An Algorithmic Approach to the Treatment of Kienböck Disease

Hand Clin. 2022 Nov;38(4):417-424. doi: 10.1016/j.hcl.2022.03.005.

Authors

Joseph Catapano¹, James P Higgins²

Affiliations

¹ Division of Plastic and Reconstructive Surgery, St. Michael's Hospital, University of Toronto, 30 Bond Street, Donnelly Wing, Room 4-072, Toronto, ON M5B 1W8, Canada.
² The Curtis National Hand Center, MedStar Union Memorial Hospital, 3333 North Calvert Street, JPB #200, Baltimore, MD 21218, USA. Electronic address: editor@curtishand.com.

PMID: 36244709
DOI: 10.1016/j.hcl.2022.03.005

Abstract

The algorithm and rationale described is a reflection of our own surgical experience for this challenging disorder and can be compared with other publications. Our algorithm has evolved from treatment of a large volume of patients with Kienböck disease in a referral practice. However, it is limited to the management that we have found logical, effective, and within our scope of experience. The treatment guidelines for our specialty as a whole will evolve as our understanding of the etiology and our ability to quantify efficacy improves.

Keywords: Avascular necrosis; Kienböck disease; Lunate.

Publication types

Review

MeSH terms

Algorithms
Humans
Lunate Bone* / surgery
Osteonecrosis* / surgery