• Title/Summary/Keyword: avascular necrosis of lunate

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Closed extensor tendon rupture caused by Kienbock disease: a case report

  • Choi, Jong Yun;Cha, Won Jin;Jung, Ee Room;Seo, Bommie F.;Jung, Sung-No
    • Archives of Plastic Surgery
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    • v.49 no.1
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    • pp.76-79
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    • 2022
  • 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.

What is the Optimal Treatment for Kienböck's Disease? (Kienböck 질환의 적정 치료는 무엇인가?)

  • Park, Min Jong;Chae, Sang Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.6
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    • pp.461-471
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    • 2021
  • Kienböck's disease is known as avascular necrosis of the lunar bone, but its natural course or optimal treatment in various stages has not been identified clearly. The textbook divides the progression of the disease and suggests treatment methods according to the stages, but it is unclear if conforming to the principle without sufficient verification is the correct treatment method. While diagnosing and treating many Kienböck's diseases, the author has had many questions regarding the treatment choices described in the textbook and tried to establish an optimal treatment based on data evidence and experience. This review presents the most appropriate and reasonable treatment method while questioning whether the previous knowledge is based on an accurate basis.