Affected people may first think they have a sprained wrist and may have experienced trauma to the wrist, which can disrupt the blood flow to the lunate. Lichtman and gregory ian bain advances in diagnosis and treatment published by springer about the book. Kienbock disease is invariably progressive, and joint destruction occurs within 35 years of onset. Specifically, kienbocks disease is another name for avascular necrosis death and fracture of bone tissue due to. Kienbocks disease genetic and rare diseases information. The condition is most common within the dominant wrist of young adult men where it appears to be due to repeated loading of the lunate. Advances in diagnosis and treatment is edited by david m. Similar books meniscus of the knee the principal aim of this book is to provide the arthroscopic orthopaedic surgeon with a clear, concise account of the anatomy, pathology, conservative and operative surgical techniques in the management of meniscal pathology. The greater the negative variance, the more severe the disease and the more likely it is to progress. Kienbock s disease is a condition characterized by interruption of blood supply to one of the small bones of the hand near the wrist the lunate. This first edition textbook of kienbocks disease, published by springer publications, collects and synthesizes. The lunate is a central bone in the wrist that is important for proper movement and support of the joint figure 1. Kienbock s disease, also known as avascular necrosis of the lunate, is a condition in which the lunate bone, one of eight small bones in the wrist, loses its blood supply, leading to death of the bone.
It is breakdown of the lunate bone, a carpal bone in the wrist that articulates with the radius in the forearm. The greater the extent of viable bone, the better the prognosis. The age distribution for kienbock disease depends on gender. Dependable, current, and complete, robbins and cotran pathologic basis of disease, 9th edition is the perennially bestselling text that youll use long after your medical student days are behind you. Kienbock disease is the eponymous name given to osteonecrosis involving the lunate. Robert kienbock, a radiologist in vienna, austria who described osteomalacia of the lunate in 1910.