Osteotomies, Core Decompression, and Denervation for the Treatment of Kienböck Disease

Hand Clin. 2022 Nov;38(4):425-433. doi: 10.1016/j.hcl.2022.03.006.

Abstract

Various osteotomies, core decompression, and denervation all have demonstrated favorable outcomes in treatment of Kienböck disease. Given the rarity of this disease, there is a dearth of high-level comparative studies to direct treatment. In this article, the authors review the current literature surrounding these techniques, and provide summary recommendations for the procedure choice.

Keywords: Core decompression; Kienböck disease; Radial shortening osteotomy; Wrist denervation.

Publication types

  • Review

MeSH terms

  • Decompression
  • Denervation
  • Follow-Up Studies
  • Humans
  • Osteonecrosis* / surgery
  • Osteotomy / methods
  • Radius*
  • Wrist Joint / surgery