title: Kienböck Disease: Moving Forward.
abstract: Over the past decade, a plethora of new information has been reported regarding etiology, natural history, classification, and treatment options for lunate osteonecrosis. New disease classifications have been described based on advanced imaging determination of lunate viability as well as a cartilage-based arthroscopic classification. Here we review the newest literature regarding Kienböck disease and present a new treatment algorithm that incorporates the traditional osseous classification system with a perfusion/viability classification and an articular cartilage-based classification.
authors.affiliation: Department of Orthopaedic Surgery, University of North Texas Health Science Center, Fort Worth, TX. Electronic address: radml@att.net.
authors.forename: David M
authors.initials: DM
authors.lastname: Lichtman
authors.affiliation: Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX.
authors.forename: William F
authors.initials: WF
authors.lastname: Pientka
authors.affiliation: Department of Orthopaedic Surgery, Flinders University, Adelaide, South Australia.
authors.forename: Gregory I
authors.initials: GI
authors.lastname: Bain
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000465:Algorithms; D002648:Child; D050276:Hand Bones; D006801:Humans; D008875:Middle Aged; D010020:Osteonecrosis / Q000145:classification / Q000175:diagnosis / Q000601:surgery; D055815:Young Adult
keywords: Kienböck; avascular; lunate; lunatomalacia; osteonecrosis