Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Kienbock's Disease

SUMMARY

Described by Kienbock in 1910, a radiologist in Vienna. (republished article in CORR 1980, Vol 149)

= collapse of the lunate due to vascular insufficiency and avascular necrosis


Aetiology:  

Uncertain

Theories:

  1. Single forgotten wrist trauma
  2. Repetitive microfractures that result in vascular comprimise, causing disruption of blood supply to lunate
  3. Recurrent compression of lunate between capitate & distal radius which disrupts the intraosseous structures through shear stress at extreme wrist positions and/or repetitive compression loading

Associated with Negative ulnar variance (of interest, there do not seem to be any reports of Kienbock's disease after the Darrach's procedure)


Clinical Manifestations: 

  • Young adults
  • wrist pain that radiates up the forearm 
  • wrist stiffness
  • tenderness over lunate dorsally
  • weakness of grip


This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.


© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 12 June 2007Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
About
Anatomy Atlas
Basic sciences
Classifications
Clinical Examination
Courses
Elbow
Extras
Foot and Ankle
FRCS(Tr&Orth) Exam
Glossary
Hand & Wrist
Help
Hip & Pelvis
Humerus
Imaging in Orthopaedics
Knee
Log Book
MCQ
News
Newsletters
Orthopaedic infections & Microbiology
Orthopaedic pathology
Paediatric orthopaedics
Perioperative issues
Rehabilitation
Shoulder
Spine
Statistics
Surgical approaches
Trauma
Home
Hide Menu