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Handchir Mikrochir Plast Chir 2010; 42(3): 171-176
DOI: 10.1055/s-0030-1249611
Originalarbeit

© Georg Thieme Verlag KG Stuttgart · New York

Classification and Treatment of Kienböck's Disease: A Review of the Past 100 Years, and a Look at the Future

Klassifikation und Behandlung des Morbus Kienböck: Eine Übersicht über die vergangenen 100 Jahre und ein Blick in die ZukunftN. Lesley1 , D. Lichtman1
  • 1John Peter Smith Hospital, University of North Texas Health Science Center, Orthopedic Surgery, Fort Worth, Texas, USA
Further Information

Publication History

received 16.11.2009

accepted 12.2.2010

Publication Date:
05 May 2010 (online)

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Abstract

In the century since it was first described, much has been learned about Kienböck's disease. However, despite advances in diagnosis and treatment, questions remain regarding the etiology of this condition. In this discussion, we will review the history and rationale for the current classification system, along with our current treatment algorithm. Additionally, we will discuss emerging classification systems based on new technology that enhances the understanding of Kienböck's disease. With consideration of this new information, we will propose new stages of this condition, and speculate on how these new stages may affect the future of Kienböck's disease.

Zusammenfassung

In den hundert Jahren seit der Erstbeschreibung der Lunatumnekrose durch Kienböck wurde vieles über die Erkrankung hinzugelernt. Trotz aller Fortschritte in Diagnostik und Behandlung bleiben jedoch Fragen, insbesondere zur Ätiologie der Erkrankung. Die vorliegende Arbeit gibt eine Übersicht über Geschichte und Hintergrund der aktuell gängigen Klassifikation und unser darauf aufgebautes Behandlungsregime. Basierend auf neuen Beobachtungen schlagen wir eine Erweiterung des Klassifikationssystems um neue Stadien vor und deren mögliche Auswirkungen für die Zukunft.

Key words

Kienböck's disease - lunate - Osteonecrosis - lunatomalacia

Schlüsselwörter

M. Kienböck - Lunatum - Osteonekrose - Lunatumnekrose

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Correspondence

Nathan Lesley

Orthopaedic Surgery

John Peter Smith Hospital

University of North Texas

Health Science Center

1500 S Main

Fort Worth

76104 Texas

USA

Email: st_nlesley@hotmail.com