Arthroscopic management of Kienböck’s disease
Epublication WebSurg.com, Oct 2010;10(10). URL: http://websurg.com/doi/vd01en3039
Kienböck’s disease is an avascular necrosis of the lunate typically present in patients aged between 20 and 40. Patients typically complain of wrist pain, swelling, restricted range of motion, and difficulty in daily activities. For those patients who fail to improve with medical treatment, surgery is often decided upon. Techniques include unloading procedures, replacement arthroplasty, revascularization procedures and limited wrist fusions. Wrist arthroscopy has been used to perform synovectomy but also to check the cartilage and to help identify the best surgical reconstructive procedures.