The Pathoanatomy and Biomechanics of Kienböck Disease

Simon B. M. MacLean; Minhao Hu; Gregory I. Bain

doi:10.1016/j.hcl.2022.03.003

The Pathoanatomy and Biomechanics of Kienböck Disease

Simon B. M. MacLean, Minhao Hu, Gregory I. Bain

College of Medicine and Public Health

Research output: Contribution to journal › Review article › peer-review

Abstract

KEY POINTS
• The etiology and pathogenesis of Kienböck disease involves osseous, vascular, and chondral aspects of the lunate and the wrist, including the proximal and distal articulations with the radius and capitate, respectively.
• There is not one typical “Kienböck’s phenotype”; disease can be seen both in the young and the elderly, in both sexes, and radiographic progression may differ in each group
•Dynamic” pathology is seen at different stages of Kienböck disease. Dynamic pathology can contribute to symptoms and is important for disease progression. We recommend 4-dimensional computed tomography scanning in select cases to determine these dynamic aspects of the disease.

Original language	English
Pages (from-to)	393-403
Number of pages	11
Journal	HAND CLINICS
Volume	38
Issue number	4
DOIs	https://doi.org/10.1016/j.hcl.2022.03.003
Publication status	Published - Nov 2022

Keywords

Dynamic
Etiology
Instability
Kienböck disease
Pathogenesis

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Cite this

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title = "The Pathoanatomy and Biomechanics of Kienb{\"o}ck Disease",

abstract = "KEY POINTS• The etiology and pathogenesis of Kienb{\"o}ck disease involves osseous, vascular, and chondral aspects of the lunate and the wrist, including the proximal and distal articulations with the radius and capitate, respectively.• There is not one typical “Kienb{\"o}ck{\textquoteright}s phenotype”; disease can be seen both in the young and the elderly, in both sexes, and radiographic progression may differ in each group•Dynamic” pathology is seen at different stages of Kienb{\"o}ck disease. Dynamic pathology can contribute to symptoms and is important for disease progression. We recommend 4-dimensional computed tomography scanning in select cases to determine these dynamic aspects of the disease.",

keywords = "Dynamic, Etiology, Instability, Kienb{\"o}ck disease, Pathogenesis",

author = "MacLean, {Simon B. M.} and Minhao Hu and Bain, {Gregory I.}",

year = "2022",

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T1 - The Pathoanatomy and Biomechanics of Kienböck Disease

AU - MacLean, Simon B. M.

AU - Hu, Minhao

AU - Bain, Gregory I.

PY - 2022/11

Y1 - 2022/11

N2 - KEY POINTS• The etiology and pathogenesis of Kienböck disease involves osseous, vascular, and chondral aspects of the lunate and the wrist, including the proximal and distal articulations with the radius and capitate, respectively.• There is not one typical “Kienböck’s phenotype”; disease can be seen both in the young and the elderly, in both sexes, and radiographic progression may differ in each group•Dynamic” pathology is seen at different stages of Kienböck disease. Dynamic pathology can contribute to symptoms and is important for disease progression. We recommend 4-dimensional computed tomography scanning in select cases to determine these dynamic aspects of the disease.

AB - KEY POINTS• The etiology and pathogenesis of Kienböck disease involves osseous, vascular, and chondral aspects of the lunate and the wrist, including the proximal and distal articulations with the radius and capitate, respectively.• There is not one typical “Kienböck’s phenotype”; disease can be seen both in the young and the elderly, in both sexes, and radiographic progression may differ in each group•Dynamic” pathology is seen at different stages of Kienböck disease. Dynamic pathology can contribute to symptoms and is important for disease progression. We recommend 4-dimensional computed tomography scanning in select cases to determine these dynamic aspects of the disease.

KW - Dynamic

KW - Etiology

KW - Instability

KW - Kienböck disease

KW - Pathogenesis

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DO - 10.1016/j.hcl.2022.03.003

M3 - Review article

C2 - 36244707

AN - SCOPUS:85139876833

SN - 0749-0712

VL - 38

SP - 393

EP - 403

JO - HAND CLINICS

JF - HAND CLINICS

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The Pathoanatomy and Biomechanics of Kienböck Disease

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Keywords

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