Arthroscopic debridement for the treatment of Kienbock's disease.

Published

Journal Article

The treatment results of seven patients (age range, 37 to 74 years, male:female ratio, 1:6) with Kienbock's disease (Lichtman stage IIIA-IIIB) who underwent arthroscopic debridement of the necrotic lunate bone and degenerative intrinsic ligaments were studied retrospectively. Osteoarthritic changes of the articular cartilage were documented in all cases. Partial (n = 2) and complete (n = 5) ruptures of the lunotriquetral and scapholunate ligaments, local synovitis (n = 5), and loose fragments (n = 6) occurred most commonly in the radiocarpal joint. All patients were available for an average of 19 months of follow-up (range, 6 to 42 months), physical examination, and radiographic evaluation. All patients reported significant improvement in pain relief and complete relief of mechanical symptoms. Radiographs showed progression of the disease in three cases; two of these were followed-up for more than 2 years. Arthroscopy in Kienbock's disease allows direct visualization and assessment of the exact pathology of the radiocarpal and midcarpal joint and the lunate cartilage. Arthroscopic debridement of the necrotic lunate increased wrist functional range of motion, provided excellent pain relief, and improved health-related quality of life in all patients.

Full Text

Duke Authors

Cited Authors

  • Menth-Chiari, WA; Poehling, GG; Wiesler, ER; Ruch, DS

Published Date

  • January 1999

Published In

Volume / Issue

  • 15 / 1

Start / End Page

  • 12 - 19

PubMed ID

  • 10024028

Pubmed Central ID

  • 10024028

International Standard Serial Number (ISSN)

  • 0749-8063

Digital Object Identifier (DOI)

  • 10.1053/ar.1999.v15.015001

Language

  • eng

Conference Location

  • United States