Etiology of Kienböck disease

Alex Lluch, Marc Garcia-Elias

Research output: Contribution to journalReview articleResearchpeer-review

34 Citations (Scopus)

Abstract

The etiology of Kienböck disease is still unknown and, consequently, the ideal treatment is in doubt. Many different hypotheses have been suggested. There are reasons to believe that there are mechanical, vascular, and metabolic factors predisposing to the disease, and probably some factors triggering the development of the process. Among mechanical factors, the short ulna has been thought to be the most relevant. However, presently there are insufficient data to support a significant association between negative ulnar variance and Kienböck disease. With regard to vascular factors, anatomical studies have shown consistent dorsal and palmar arteries entering the bone, and thus, the most likely site for vascular impairment may be at the subchondral level. Many triggering factors have been proposed during the past years, but until this is truly clarified, finding the real cause of Kienböck disease will continue to be a real challenge. Copyright © 2011 by Lippincott Williams & Wilkins.
Original languageEnglish
Pages (from-to)33-37
JournalTechniques in Hand and Upper Extremity Surgery
Volume15
Issue number1
DOIs
Publication statusPublished - 1 Mar 2011

Keywords

  • etiology
  • Kienböck disease
  • lunatomalacia

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