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1

ALMQUIST, EDWARD E. "Kienbock??s Disease." Clinical Orthopaedics and Related Research &NA;, no. 202 (1986): 68???78. http://dx.doi.org/10.1097/00003086-198601000-00009.

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2

Kopcik, Katarzyna. "DIAGNOSTIC METHODS IN KIENBOCK DISEASE." Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion – IRONS 42 (March 1, 2023): 7–13. http://dx.doi.org/10.19271/irons-000180-2023-42.

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ABSTRACT Introduction Kienbock disease is relatively rare condition of aseptic necrosis of the lunate, which can be diagnosed using X-ray scans, CT scans, MRI scans and diagnostic arthroscopy. Aim Main aim of the paper is to sum up available knowledge of diagnostic methods of Kienbock disease with staging classifications. Material and methods The paper is based on academic literature and scientific publications, which are available in PubMed database. After evaluation of article’s abstracts, articles were selected and analysed with the references citated. Conclusions There are different method
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3

Yang, Jun Young, Hyun Dae Shin, Sang Ro Ahn, Kwang Jin Rhee, Jun Kue Lee, and Jung Hee Choi. "Scaphocapitate Fusion for Kienbock disease." Journal of the Korean Society of Fractures 12, no. 2 (1999): 446. http://dx.doi.org/10.12671/jksf.1999.12.2.446.

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4

Salt, Ömer, and Mustafa Burak Sayhan. "Avascular necrosis of lunate bone: Kienbock disease." American Journal of Emergency Medicine 34, no. 6 (2016): 1185.e5–1185.e6. http://dx.doi.org/10.1016/j.ajem.2015.11.036.

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5

Zaheer, Chiragh, Iftikhar Alam Muhammad, and Fatmi Shahab. "Scintigraphic evaluation of Kienbock's disease in comparison to Plain radiography." International Journal of Endorsing Health Science Research 1, no. 1 (2013): 9–10. https://doi.org/10.29052/IJEHSR.v1.i1.2013.9-10.

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Abstract Kienbock’s disease is a rare pathology of uncertain etiology, resulting in osteonecrosis of lunate bone. The authors present interesting images for comparison of both plain radiography and bone scan findings done in a young male laborer.   Link: http://aeirc-edu.com/ojs14/index.php/IJEHSR/article/view/30/248
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6

Lichtman, D. M. "Kienbock??s disease???Update on silicone replacement arthroplasty." Plastic and Reconstructive Surgery 75, no. 2 (1985): 291. http://dx.doi.org/10.1097/00006534-198502000-00076.

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7

MacLean, Simon B. M., Karim Kantar, Gregory I. Bain, and David M. Lichtman. "The Role of Wrist Arthroscopy in Kienbock Disease." Hand Clinics 33, no. 4 (2017): 727–34. http://dx.doi.org/10.1016/j.hcl.2017.07.003.

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8

Matos, Sara, Ana Duarte, Maria Almeida, and Mário Miranda. "Doença de Kienbock profissional- Relato de um Caso Clínico." Revista Portuguesa de Saúde Ocupacional 13 (June 30, 2022): 108–17. http://dx.doi.org/10.31252/rpso.15.01.2022.

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Introduction Semilunar avascular osteonecrosis/Kienböck’s disease has been associated with endogenous (ulnar negative variant and univocal vascularization) and/or extrinsic risk factors, such as prolonged exposure to vibrations and mechanical forces causing microtrauma. Case report The authors report a Kienböck disease case likely related to occupational hazards’ exposition. 44-year-old automechanic previously submitted to right wrist surgery in 2006 to pain relieve. Eight years after, he reports progressive worsening, especially upon active movement with incapacity for work and extreme limita
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9

Almquist, E. E., and J. F. Burns. "Radial shortening for the treatment of Kienbock??s disease." Plastic and Reconstructive Surgery 75, no. 2 (1985): 291. http://dx.doi.org/10.1097/00006534-198502000-00070.

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10

Mozaffarian, Kamran, Hamid Namazi, and Asghar Namdari. "Radial Shortening Osteotomy in Advanced Stages of Kienbock Disease." Techniques in Hand & Upper Extremity Surgery 16, no. 4 (2012): 242–46. http://dx.doi.org/10.1097/bth.0b013e31826d2f77.

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11

Elhassan, Bassem, and Alexander Y. Shin. "Management of Wrist Arthritis Secondary to Advanced Kienbock Disease." Techniques in Orthopaedics 24, no. 1 (2009): 27–31. http://dx.doi.org/10.1097/bto.0b013e3181a07ec8.

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12

Yochum, Alicia M., and Norman W. Kettner. "Kienbock Disease: A Complicated Postsurgical Case Study Using Diagnostic Ultrasonography." Journal of Chiropractic Medicine 14, no. 2 (2015): 77–82. http://dx.doi.org/10.1016/j.jcm.2015.05.001.

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13

Sharma, Gautam, Kevin Bartel, and Rachael Rzasa Lynn. "ID: 217550 Can-We-Block the Pain Associated With Kienbock Disease?" Neuromodulation: Technology at the Neural Interface 26, no. 4 (2023): S193. http://dx.doi.org/10.1016/j.neurom.2023.04.341.

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14

Iorio, Matthew L., Colin D. Kennedy, and Jerry I. Huang. "Limited Intercarpal Fusion as a Salvage Procedure for Advanced Kienbock Disease." HAND 10, no. 3 (2014): 472–76. http://dx.doi.org/10.1007/s11552-014-9705-z.

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15

Deptula, Peter, Meghan McCullough, Theodore Brown, Dylan Singh, Stuart Kuschner, and David Kulber. "Scaphocapitate Arthrodesis for Wrist Deformities: A Systematic Review." Plastic and Reconstructive Surgery - Global Open 12, no. 10 (2024): e6205. http://dx.doi.org/10.1097/gox.0000000000006205.

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Background: Scaphocapitate arthrodesis (SCA) is a described technique for chronic wrist pathology such as Kienbock disease and carpal instability. The technique aims to preserve motion, while maintaining carpal height, preserving the radioscaphoid articulation, and offloading the lunate. Limited case series evaluate the outcomes of this previously described technique. We aim to determine if the collective, updated literature on outcomes of SCA support its continued application by the wrist surgeon. Furthermore, we investigated if any technical variations offer an advantage in improving patient
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16

Tan, Virak, and Mark Ronald Paiste. "Distal Radius Osteotomy With Intramedullary Fixation for the Treatment of Kienbock Disease." Techniques in Hand & Upper Extremity Surgery 16, no. 3 (2012): 153–58. http://dx.doi.org/10.1097/bth.0b013e31825c79b9.

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17

Nazim, Mohd, and Dr Vijay Kumar Rathod. "Ulnar lengthening osteotomy in the treatment of Kienbock disease: A prospective case series." International Journal of Orthopaedics Sciences 5, no. 1 (2019): 151–54. http://dx.doi.org/10.22271/ortho.2019.v5.i1c.28.

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18

El Anbari, Y., A. Rafaoui, Y. Abdelfettah, et al. "Aseptic osteonecrosis of the lunatum (Kienbock disease) and handicap in a case report." Annals of Physical and Rehabilitation Medicine 55 (October 2012): e77. http://dx.doi.org/10.1016/j.rehab.2012.07.192.

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19

Mehrpour, Saeed Reza, Alireza Mobasseri, and Behzad Amoozgar. "Mesenchymal stem cells injection with core decompression in the treatment of Kienbock disease." Journal of Medical Hypotheses and Ideas 9, no. 2 (2015): S1—S3. http://dx.doi.org/10.1016/j.jmhi.2015.11.001.

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20

Aries Rahman Hakim and Heri Suroto. "Long-term functional result of vascularized bone graft for kienbock disease: A case report." World Journal of Advanced Research and Reviews 21, no. 1 (2024): 2149–54. http://dx.doi.org/10.30574/wjarr.2024.21.1.0209.

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Introduction: Kienbock's disease, or lunatomalacia, was a condition of aseptic osteonecrosis of the os lunatum, which can be progressively developed with a state of lunatum collapse, followed by complete os carpal collapse. This disease has been known for a long time, but until now, the exact cause of this disease could not be explained. . Case Presentation: We reported a 32-year-old female patient with pain in the right wrist; the pain was felt for five years before the surgery and is getting worse. On physical examination, Phalen's and Reverse Phalen's tests found pain and limited movement i
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21

Aries, Rahman Hakim, and Suroto Heri. "Long-term functional result of vascularized bone graft for kienbock disease: A case report." World Journal of Advanced Research and Reviews 21, no. 1 (2024): 2149–54. https://doi.org/10.5281/zenodo.13364698.

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<strong>Introduction</strong>: Kienbock's disease, or lunatomalacia, was a condition of aseptic osteonecrosis of the os lunatum, which can be progressively developed with a state of lunatum collapse, followed by complete os carpal collapse. This disease has been known for a long time, but until now, the exact cause of this disease could not be explained. . <strong>Case Presentation:</strong>&nbsp;We reported a 32-year-old female patient with pain in the right wrist; the pain was felt for five years before the surgery and is getting worse. On physical examination, Phalen's and Reverse Phalen's
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22

Bain, Gregory I., Michael L. Smith, and Adam C. Watts. "Arthroscopic Core Decompression of the Lunate in Early Stage Kienbock Disease of the Lunate." Techniques in Hand & Upper Extremity Surgery 15, no. 1 (2011): 66–69. http://dx.doi.org/10.1097/bth.0b013e3181e1d2b4.

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23

Saini, Narender, Vishal Kundanani, Lokesh Chaudhary, Dinesh Meena, and DS Meena. "Distraction histiogenesis for treatment of Kienbock′s disease: A 2- to 8-year follow-up." Indian Journal of Orthopaedics 43, no. 2 (2009): 189. http://dx.doi.org/10.4103/0019-5413.50854.

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24

Dennison, David, and Arnold-Peter C. Weiss. "Kienbock disease: Is there a role for radial shortening in neutral to positive ulna variant wrists?" Current Opinion in Orthopedics 11, no. 4 (2000): 243–45. http://dx.doi.org/10.1097/00001433-200008000-00003.

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25

Naeem Atyyia, Ahmed, Ramy A. Diab, and Amr Nabil. "A Comparative Study Between 2 Intracarpal Partial Shortening Osteotomy Techniques for Type II Lunate Kienbock Disease." Techniques in Orthopaedics 34, no. 4 (2019): 287–93. http://dx.doi.org/10.1097/bto.0000000000000319.

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26

Shariatzadeh, Hooman, Farid Najd Mazhar, Hanon Sadony, and Nima Bagheri. "The Role of Lunate Morphology in the Severity of Kienböck Disease: A Retrospective Study." Journal of Research in Orthopedic Science 6, no. 4 (2019): 13–18. http://dx.doi.org/10.32598/jrosj.6.4.55.

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Background: Lunate morphology has been associated with several wrist pathologies. In this study, we aimed to find how lunate morphology (absence or presence of hamate facet) affects the severity of Kienböck disease. Objectives: Evaluation of the relationship between lunate morphology and kienbocks disease. Methods: A total of 106 patients with stage IIIA or IIIB of Kienböck disease at initial presentation were included in this study. Modified Litchman classification system and standardized lateral radiographs were used for staging the Kienböck disease. Lunate morphology was investigated on pla
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27

Wren, Ethan R., and Tsu-Min Tsai. "A case of scaphocapitate arthrodesis for a failed lunate prosthesis in kienbock disease – 35 year follow up." Case Reports in Plastic Surgery and Hand Surgery 9, no. 1 (2022): 105–9. http://dx.doi.org/10.1080/23320885.2022.2054813.

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28

Ichtertz, Dolf R. "Percutaneous Wrist Denervation, A New Technique: No Need for X-Ray or Ultrasound." medtigo Journal of Medicine 3, no. 1 (2025): e14671997. https://doi.org/10.5281/zenodo.14671997.

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This study introduces a minimally invasive percutaneous technique for partial wrist denervation, targeting the posterior interosseous nerve (PIN) to alleviate chronic wrist pain. Traditional methods including non-steroidal anti-inflammatory drugs (NSAIDs), bracing, proximal row carpectomy, and total wrist fusion, present limitations such as long recovery times, discomfort, and aesthetic concerns. The proposed technique employs a radiofrequency probe for selective PIN ablation, offering a less invasive alternative with no incisions, minimal scarring, and outpatient applicability. Diagnostic ner
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29

Tsantes, Andreas, Dimitrios Papadopoulos, Ioannis Gelalis, Marios Vekris, Emilios Pakos, and Anastasios Korompilias. "The Efficacy of Vascularized Bone Grafts in the Treatment of Scaphoid Nonunions and Kienbock Disease: A Systematic Review in 917 Patients." Journal of Hand and Microsurgery 11, no. 01 (2018): 006–13. http://dx.doi.org/10.1055/s-0038-1677318.

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Abstract Background Vascularized bone grafts have become one of the first treatment options for scaphoid nonunions and Kienböck's disease. The aim of this study is to review the current body of the literature regarding the use of four vascularized bone grafts (1,2 ICSRA [1,2 intercompartmental supraretinacular artery] graft, 4+5 ECA [4+5 extracompartmental artery] graft, volar radial graft, and free medial femoral condyle graft) in these pathologies. Patients and Methods A search on MEDLINE and Google Scholar was performed. Exclusion criteria included language other than English, studies with
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30

Botelheiro, J. C., Silvia Silverio, and Ana Luísa Neto. "Treatment of Advanced Kienbock's Disease (Lichtman Stage IIIB with Carpal Collapse) by a Shortening Osteotomy of the Radius: 21 Cases." Journal of Wrist Surgery 08, no. 04 (2019): 264–67. http://dx.doi.org/10.1055/s-0039-1688947.

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Purpose To review the results of shortening osteotomies of the radius in our stage IIIB Kienbock's disease patients. Materials and Methods In the past 30 years, we treated 52 cases of Kienbock's disease by a shortening osteotomy of the radius, of which 21 already had carpal collapse. All patient charts and X-rays were reviewed, but only the cases already with carpal collapse (stage IIIB) are presented here. Results All patients improved after surgery. Pain, on a scale of 0 to 3, generally 2 or 3 before surgery (median: 2.3), was normally 1 or 0 afterward (median: 0.9); median flexion–extension
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31

Noback, Peter C., David P. Trofa, Lucas K. Dziesinski, Evan P. Trupia, Samuel Galle, and Melvin P. Rosenwasser. "Kienböck Disease: Quality, Accuracy, and Readability of Online Information." HAND 15, no. 4 (2018): 563–72. http://dx.doi.org/10.1177/1558944718813631.

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Background: Patients with limited health literacy require online educational materials to be written below a sixth grade level for optimal understanding. We assessed the quality, accuracy, and readability of online materials for Kienböck disease (KD). Methods: “Kienbock’s Disease” and “Lunate Avacular Necrosis” were entered into 3 search engines. The first 25 Web sites from each search were collected. Quality was assessed via a custom grading rubric, accuracy by 2 residents and a fellow, and readability by Flesch-Kincaid grade level (FKGL) and New Dale-Chall test. Web sites were stratified acc
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32

Top, Alexander C. R., Bert Vanmierlo, and Arne Decramer. "Potential Correlation between Kienböck’s Disease and Hereditary Hemochromatosis: A Case Report." Journal of Orthopedic Case Reports 14, no. 8 (2024): 6–9. http://dx.doi.org/10.13107/jocr.2024.v14.i08.4626.

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Introduction: Avascular necrosis of the lunate bone has been extensively researched, although the etiology of the condition remains controversial. Even though many treatments for the disease exist, a better understanding of the pathophysiology can improve our decision-making between preventive and therapeutic measures. Various hematological disorders have been found to predispose for Kienböck’s disease. On the other hand, there has not yet been any reference in literature to a relationship between this condition and hereditary hemochromatosis (HH). Case Report: We present two cases of Kienböc
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33

Daly, Charles Andrew, and Alexander Reed Graf. "Kienböck Disease." Hand Clinics 38, no. 4 (2022): 385–92. http://dx.doi.org/10.1016/j.hcl.2022.03.002.

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34

Cross, Danielle, and Kristofer S. Matullo. "Kienböck Disease." Orthopedic Clinics of North America 45, no. 1 (2014): 141–52. http://dx.doi.org/10.1016/j.ocl.2013.09.004.

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35

Lutsky, Kevin, and Pedro K. Beredjiklian. "Kienböck Disease." Journal of Hand Surgery 37, no. 9 (2012): 1942–52. http://dx.doi.org/10.1016/j.jhsa.2012.06.029.

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36

Divelbiss, Brian, and Mark E. Baratz. "Kienböck disease." Journal of the American Society for Surgery of the Hand 1, no. 1 (2001): 61–72. http://dx.doi.org/10.1053/jssh.2001.19885.

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37

Nakamura, Toshiyasu. "Kienböck Disease." Journal of Wrist Surgery 09, no. 04 (2020): 275. http://dx.doi.org/10.1055/s-0040-1714204.

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38

Choi, Jong Yun, Won Jin Cha, Ee Room Jung, Bommie F. Seo, and Sung-No Jung. "Closed extensor tendon rupture caused by Kienböck disease: a case report." Archives of Plastic Surgery 49, no. 1 (2022): 76–79. http://dx.doi.org/10.5999/aps.2021.01522.

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Kienböck disease, a rare disease that can cause chronic pain and motor dysfunction, occurs due to avascular necrosis of the lunate bone, which leads to dislocation of the carpal bone. Among various other etiologies, Kienböck disease can cause closed tendon rupture of the finger. In this report, we introduce a case of total rupture of the second extensor digitorum communis and the extensor indicis proprius tendons caused by undiagnosed Kienböck disease in an elderly female patient.
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39

Dong, Hongdao, Carlos Prada, Fares Uddin, Kenneth Faber, and Assaf Kadar. "Salvaging Procedure for Stage IIIB Kienböck Disease in a 19-Year-Old Man, a Case Report and Review." JBJS Journal of Orthopaedics for Physician Assistants 13, no. 2 (2025): e25.00001. https://doi.org/10.2106/jbjs.jopa.25.00001.

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A 19-year-old man presented with symptomatic stage IIIB Kienböck disease. He underwent salvaging proximal row carpectomy for sclerotic lunate, carpal collapse, scaphoid volar tilting, and osteoarthritis. He had a resolution of pain and functional improvement. To our knowledge, salvaging procedure of late-stage Kienböck disease at this age is rare and this article can provide insight into the surgical management and prognosis of patients with similar diagnoses. This case highlights the importance of early clinical suspicion, prompt use of advanced imaging, and awareness of Kienböck disease to a
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40

van Leeuwen, Wouter F., Stein J. Janssen, Thierry G. Guitton, Neal Chen, and David Ring. "Interobserver Agreement in Diagnosing Early-Stage Kienböck Disease on Radiographs and Magnetic Resonance Imaging." HAND 12, no. 6 (2016): 573–78. http://dx.doi.org/10.1177/1558944716677538.

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Background: The appearance of early Kienböck disease on radiographs and magnetic resonance imaging (MRI) may be difficult to distinguish from other conditions that affect the lunate. We aimed to assess the interobserver agreement in the diagnosis of early Kienböck disease when evaluated on different imaging modalities. Methods: Forty-three hand surgeon members of the Science of Variation Group were randomized to evaluate radiographs and 35 hand surgeons to evaluate radiographs and MRI scans of 26 patients for the presence of Kienböck disease, the lunate type, and the ulnar variance. We used Fl
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41

Özcanlı, Haluk, Osman Civan, and Ali Cavit. "Radial Shortening Osteotomy in Kienböck Disease." Akdeniz Medical Journal 2, no. 3 (2016): 143–47. http://dx.doi.org/10.17954/amj.2016.58.

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42

Arnaiz, Javier, Tatiana Piedra, Luis Cerezal, et al. "Imaging of Kienböck Disease." American Journal of Roentgenology 203, no. 1 (2014): 131–39. http://dx.doi.org/10.2214/ajr.13.11606.

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43

Lluch, Alex, and Marc Garcia-Elias. "Etiology of Kienböck Disease." Techniques in Hand & Upper Extremity Surgery 15, no. 1 (2011): 33–37. http://dx.doi.org/10.1097/bth.0b013e3182107329.

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44

Foucher, G. "Approach to Kienböck disease." Annales de Chirurgie de la Main 4, no. 3 (1985): 265. http://dx.doi.org/10.1016/s0753-9053(85)80016-8.

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45

Lichtman, David M., William F. Pientka, and Gregory I. Bain. "Kienböck Disease: Moving Forward." Journal of Hand Surgery 41, no. 5 (2016): 630–38. http://dx.doi.org/10.1016/j.jhsa.2016.02.013.

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46

Luegmair, M., and P. Saffar. "Scaphocapitate arthrodesis for treatment of late stage Kienböck disease." Journal of Hand Surgery (European Volume) 39, no. 4 (2013): 416–22. http://dx.doi.org/10.1177/1753193413496177.

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Symptomatic lunate collapse owing to Kienböck disease is difficult to treat. To define the potential role of scaphocapitate arthrodesis, we reviewed ten patients who underwent scaphocapitate arthrodesis for stage IIIB–IV Kienböck disease at a mean follow-up of 8.75 years (range 1.3–18.6). Clinical variables included ranges of motion, grip strength, pain, return to work, and QuickDASH (disabilities of the arm, shoulder and hand) scores. Radiographs were evaluated for union, carpal height, alignment, ulnar translation, and radiocarpal arthritis. The procedure resulted in functional ranges of mot
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47

Alexander, A. Herbert, and David M. Lichtman. "Kienböcks Disease." Orthopedic Clinics of North America 17, no. 3 (1986): 461–72. http://dx.doi.org/10.1016/s0030-5898(20)32329-4.

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48

O'Laughlin, Shaun J. "Kienbock's Disease." Journal of Orthopaedic & Sports Physical Therapy 40, no. 6 (2010): 376. http://dx.doi.org/10.2519/jospt.2010.0409.

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49

MANIGLIO, Mauro, Ezequiel E. ZAIDENBERG, Simon RONER, Nermine HABIB, Jorge BORETTO, and Pablo DE CARLI. "Is There a Correlation between the Radiological and Clinical Outcome after Core Decompression of the Radius for Kienböck Disease?" Journal of Hand Surgery (Asian-Pacific Volume) 29, no. 01 (2024): 36–42. http://dx.doi.org/10.1142/s2424835524500061.

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Background: Despite the good clinical results in the treatment of Kienböck disease with distal radius core decompression, a radiological progression to a certain degree in the long-term follow-up is possible. Is there a negative correlation between the clinical improvement of the patients and the radiological progression? Methods: We retrospectively reviewed the radiological and clinical results of 24 patients (mean age: 38 years; 10 women) treated with core decompression for Kienböck disease. The mean follow-up was 10 years. Results: A radiologic progression in the Lichtman classification was
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50

Irisarri, C., K. Kalb, and S. Ribak. "Infantile and juvenile lunatomalacia." Journal of Hand Surgery (European Volume) 35, no. 7 (2010): 544–48. http://dx.doi.org/10.1177/1753193410364913.

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Lunatomalacia or avascular necrosis of the lunate in children is a rare disease not described by Kienböck. It is somewhat surprising that the term Kienböck’s disease has been used to describe this disease of the lunate in children. We report our experience in 13 cases and review the literature. In children under 12, the prognosis is very good after immobilization alone. Persistent symptoms may indicate surgery, probably radial shortening, in some older teenagers although the outcome appears better than in adults. We suggest the term lunatomalacia to describe this disorder, in recognition of th
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