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
