Introduction to Kienböck's disease : basic science, diagnosis and treatment / Norimasa Iwasaki, editor.

This book covers the pathogenesis, etiology, diagnosis and treatment options for avascular necrosis of the lunate, offering readers a systematic overview of Kienbocks disease. Each chapter shares scientific findings and abundant illustrations on the latest advances in the diagnosis and treatment of...

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Bibliographic Details
Other Authors: Iwasaki, Norimasa (Editor)
Format: eBook
Language:English
Published: Singapore : Springer, 2023.
Subjects:
Online Access:Click for online access
Table of Contents:
  • Intro
  • Contents
  • Part I: Introduction
  • 1: Introduction
  • References
  • Part II: Pathogenesis and Basic Science
  • 2: Wrist Anatomy and Vascularity
  • References
  • 3: Wrist Biomechanics of Kienböck's Disease
  • 3.1 Introduction
  • 3.2 Kinetics and Kinematics of the Normal Lunate
  • 3.2.1 Midcarpal Joint
  • 3.2.2 Radiocarpal Joint
  • 3.3 Morphological Influence on and Kinetics of Kienböck's Disease
  • 3.3.1 Morphological Influence
  • 3.3.2 Kinetics
  • 3.4 Kinetic Efficacy of Different Types of Surgical Decompression Procedures
  • 3.4.1 Radial Shortening Osteotomy
  • 3.4.2 Radial Wedge Osteotomy
  • 3.4.3 Capitate Shortening Osteotomy
  • 3.4.4 Partial Capitate Shortening
  • 3.4.5 Intercarpal Fusions
  • References
  • Part III: Etiology
  • 4: Etiology
  • 4.1 Arterial Injury Theory
  • 4.2 Fracture Theory
  • 4.3 Ulnar Variance Theory
  • References
  • Part IV: Diagnosis
  • 5: History and Presentation
  • References
  • 6: Imaging
  • 6.1 Standard Radiographs
  • 6.1.1 Ulnar Variance
  • 6.1.2 Radial Inclination
  • 6.1.3 Carpal Height Ratio
  • 6.1.4 Radioscaphoid Angle
  • 6.1.5 Size or Shape of the Lunate
  • 6.2 Magnetic Resonance Imaging
  • 6.3 Computed Tomography
  • 6.4 Staging
  • References
  • Part V: Treatment and Outcome
  • 7: Treatment Strategy
  • References
  • 8: Conservative Treatments
  • 8.1 Introduction
  • 8.2 Conservative Treatments for Young Patients
  • 8.3 Conservative Treatments for Elderly Patients
  • 8.4 Conservative Treatments for Adults (Aged 21-70 Years)
  • References
  • 9: Surgical Treatments: Revascularization
  • 9.1 Introduction
  • 9.2 Harvest from Dorsal Distal Radius
  • 9.3 Harvest from Volar Distal Radius
  • 9.4 Dorsal Metacarpal Artery Pedicled Vascularized Bone Graft
  • 9.5 Vascularized Pisiform Bone Graft
  • 9.6 Free Vascularized Iliac Crest Bone Graft
  • 9.7 Vascularized Pedicle Implantation
  • 9.8 Reconstruction of Lunate Using Free Medial Femoral Trochlea Osteochondral Free Flap
  • 9.9 Partial Reconstruction of Radiolunate Joint Using Vascularized Capitate Transposition Technique
  • 9.10 Combination of VBG with Joint Leveling Procedure
  • 9.11 Comparison of Clinical Outcome Between VBG and Joint Leveling Procedures
  • 9.12 Summary
  • References
  • 10: Surgical Treatments: Radial Osteotomy
  • 10.1 Introduction
  • 10.2 Surgical Technique
  • 10.3 Clinical Study
  • 10.4 Patients and Methods
  • 10.4.1 Patients
  • 10.4.2 Outcome Measures
  • 10.4.3 Statistical Analysis
  • 10.5 Results
  • 10.5.1 Younger Group (39 Years and Under)
  • 10.5.2 Older Group (40 Years and Over)
  • 10.5.3 Inter-group Comparison
  • 10.6 Discussion
  • 10.7 Conclusion
  • References
  • 11: Surgical Treatments: Capitate Shortening Osteotomy
  • References
  • 12: Surgical Treatments: Limited Intercarpal Fusion
  • References
  • 13: Surgical Treatments: Lunate Excision
  • 13.1 Author's Preferred Technique [1, 22]
  • References