Kienböck Disease: Moving Forward

David Lichtman, William Pientka 2nd, Gregory Bain

    Research output: Contribution to journalArticlepeer-review

    29 Citations (Scopus)


    Over the past decade, a plethora of new information has been reported regarding etiology, natural history, classification, and treatment options for lunate osteonecrosis. New disease classifications have been described based on advanced imaging determination of lunate viability as well as a cartilage-based arthroscopic classification. Here we review the newest literature regarding Kienböck disease and present a new treatment algorithm that incorporates the traditional osseous classification system with a perfusion/viability classification and an articular cartilage-based classification.

    Original languageEnglish
    Pages (from-to)630-638
    Number of pages9
    JournalJournal of Hand Surgery-American Volume
    Issue number5
    Publication statusPublished - 1 May 2016


    • avascular
    • Kienböck
    • lunate
    • lunatomalacia
    • osteonecrosis


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