Kienböck’s Disease (eBook) von David M. Lichtman

Part I: Basic Science.- Osseous Anatomy and Microanatomy of the Lunate.- Vascularity of the Lunate.- Lunate Bone Morphology and Its Association with Kienböcks Disease.- Wrist Biomechanics as Applied to the Lunate and Kienböcks Disease.- Pathoanatomy of Kienböcks Disease.- Etiology of Kienböcks Disease.- Part II: Clinical Assessment.- Clinical Presentation, Natural History and Classification of Kienböcks Disease.- Basic Imaging and Differential Diagnosis of Kienböcks Disease.- Advanced Imaging of Kienböcks Disease.- Acute Lunate Fractures and Translunate Dislocations.- Arthroscopic Assessment and Treatment of Kienböcks Disease.- Part III: Management.- Minimally Invasive Techniques for the Treatment of Kienböcks Disease.- Radial Shortening and Ulnar Lengthening Operations for Kienböcks Disease.- Radial Closing Wedge Osteotomy for Kienböcks Disease.- Osteochondral Free Flap Reconstruction of Advanced Kienböcks Disease.- Scaphotrapeziotrapezoid and Scaphocapitate Fusion in Kienböcks Disease.- Radioscapholunate Fusion in Kienböcks Disease.- Lunarectomy and Progressive Capitate Lengthening (Modified Graner Wilhelm Procedure).- Arthroscopic Reconstructive Procedures for Kienböcks Disease: Arthroscopic Assisted Bone Grafting.- Arthroscopic Reconstructive Procedures for Kienböcks Disease.- Pyrocarbon Arthroplasty for Kienböcks Disease.- Wrist Hemiarthroplasty Combined with Proximal Row Carpectomy.- Total Wrist Arthroplasty.- Total Wrist Fusion in the Management of Kienböcks Disease.- The Future of Kienböcks Disease: A New Algorithm.

 

Collecting and synthesizing all of the most recent literature on Kienböcks disease from around the world, this comprehensive text aims to provide a more dynamic, nuanced treatment algorithm for this enigmatic condition. Part I consolidates the basic science on Kienböcks and the lunate, including anatomy, pathology, biomechanics and etiology. Clinical assessment is covered in part II, including radiology, advanced imaging and arthroscopy. The natural history and progression of the condition in children, adults and the elderly is also presented. By far the largest section, part III describes the roles and methods of the various management strategies for Kienböcks, from minimally invasive techniques to arthroscopic and arthroplastic procedures. The final chapter draws from all of these concepts, establishes a new algorithm and provides a direction for the future. Written and edited by leaders in the field, and including supplemental video features for select chapters, Kienböcks Disease: Advances in Diagnosis and Treatment is a remarkable text that helps unlock this mysterious condition, and will be a valuable resource for hand and orthopedic surgeons, residents and trainees worldwide.