Avascular Necrosis of the Carpal Bones: Etiologies and Treatments, An Issue of Hand Clinics

1st Edition, Volume 38-4 - October 20, 2022
Imprint: Elsevier
Editor: Mitchell A. Pet
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 8 7 5 1 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 8 7 5 2 - 3

In this issue of Hand Clinics, guest editors Drs. Mitchell A. Pet and Charles A. Daly bring their considerable expertise to the topic of Avascular Necrosis of the Carpal Bones:… Read more

Avascular Necrosis of the Carpal Bones: Etiologies and Treatments, An Issue of Hand Clinics

Purchase options

Info / Buy

World Book Day Celebration!

Save up to 30% on books and eBooks!

Shop now

Institutional subscription on ScienceDirect

Request a sales quote

In this issue of Hand Clinics, guest editors Drs. Mitchell A. Pet and Charles A. Daly bring their considerable expertise to the topic of Avascular Necrosis of the Carpal Bones: Etiologies and Treatments. Avascular necrosis of the carpal bones is a key cause of wrist pain and limitations to motion, as well as strength limitations. Oftentimes, these conditions devolve into arthritis. AVN (osteonecrosis) in the carpus is death of the surrounding bone marrow tissues; Kienböck disease in particular is osteonecrosis of the lunate. In this issue, top experts provide a state-of-the-art review of AVN of the carpal tissues, with a particular emphasis on diagnosis and treatment.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Pathophysiology of Avascular Necrosis
Key points
Introduction
Clinics care points
Financial disclosure
Vascular Supply of the Wrist
Key points
Introduction
Distal radius and ulna vascular anatomy
Carpal vascular anatomy
Discussion
Summary
Clinics care points
Disclosure
Kienböck Disease: Clinical Presentation, Epidemiology, and Historical Perspective
Key points
Historical perspective
Epidemiology
Clinical presentation
Treatment trends
Summary
Clinics care points
The Pathoanatomy and Biomechanics of Kienböck Disease
Key points
Introduction
The “at-risk” wrist for Kienböck disease
The 3 phenotypes of Kienböck disease
Medical conditions
The lunate
The “at-risk” wrist for collapse
Volar radiolunate impingement
Ulnar styloid triquetral impingement
Instability patterns in Kienböck disease
Correlation with disease progression
Summary
Clinics care points
Classification and Radiographic Characterization of Kienböck Disease
Key points
Introduction
Radiographic classification
Magnetic resonance imaging classification
Arthroscopic classification
Combined classification
Computed tomography scans
Discussion
Summary
Clinics care points
An Algorithmic Approach to the Treatment of Kienböck Disease
Key points
Introduction
Treatment options
A treatment algorithm for Kienböck disease
Osteotomies, Core Decompression, and Denervation for the Treatment of Kienböck Disease
Key points
Introduction
Core decompression
Osteotomies
Capitate shortening osteotomy
Denervation
Comparative studies
Summary
clinics care points
Vascularized Bone Flaps for the Treatment of Kienböck Disease
Key points
Introduction
Vascular anatomy of the carpus
Role of lunate revascularization in the treatment of Kienböck disease
Evaluation of osteonecrosis of the lunate
Treatment of Kienböck disease with lunate revascularization
Clinics care points: key technical pearls and pitfalls
Summary
Wrist Salvage Procedures for the Treatment of Kienbock’s Disease
Key points
Introduction
Summary
Clinics care points
Arthroscopic Management of Kienböck Disease
Key points
Introduction
Diagnostic approach
Arthroscopic treatment of early disease
Arthroscopic treatment of advanced disease
Directions for further research
Summary
Clinics care points
Preiser’s Disease—Current Concepts of Etiology and Management
Key points
Background
Summary
Supplementary data
Avascular Necrosis of Capitate and Other Uncommon Presentations of Carpal Avascular Necrosis
Key points
Introduction
Diagnosis
Capitate AVN
Treatment of capitate AVN
AVN of other carpal bones
Summary
Disclosure

Life Sciences

Physical Sciences & Engineering

Social Sciences & Humanities

Health

Avascular Necrosis of the Carpal Bones: Etiologies and Treatments, An Issue of Hand Clinics

Purchase options

World Book Day Celebration!

Institutional subscription on ScienceDirect

Mitchell A. Pet