title: A hand therapy protocol for the treatment of lunate overload or early Kienbock's disease.
abstract: We describe a hand therapy protocol aimed at unloading the wrist and increasing blood supply to the wrist, specifically to the lunate. The protocol was used in a series of patients with clinical radial wrist pain, dysfunction and changes on wrist imaging studies. The patients were not candidates for surgical treatment. Application of the therapy protocol improved objective and subjective parameters such as pain and motion, and may provide a viable treatment option for patients with lunate overload or early Kienbock's disease that are not candidates for surgery.
authors: Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USA. wollsteinr@upmc.edu
authors: Ronit
authors: R
authors: Wollstein
authors: Adi
authors: A
authors: Wollstein
authors: John
authors: J
authors: Rodgers
authors: Thomas J
authors: TJ
authors: Ogden
mesh_terms: D000328:Adult; D000368:Aged; D017679:Cryotherapy; D004185:Disability Evaluation; D042241:Early Diagnosis; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D018737:Hand Strength / Q000502:physiology; D006358:Hot Temperature / Q000627:therapeutic use; D006801:Humans; D012667:Lunate Bone / Q000098:blood supply / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation*; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology; D014464:Ultrasonic Therapy
keywords: Early Kienbock's disease; Lunate; Overload; Therapy protocol