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Morbus Kienböck

Diagnostik und Therapie der Os-lunatum-Nekrose

Kienböck’s disease

Diagnosis and therapy

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Zusammenfassung

Der Morbus Kienböck (Lunatumnekrose, früher auch: Lunatummalazie) ist die häufigste aseptische Knochennekrose an der oberen Extremität. Andere Knochennekrosen an der Hand spielen zahlenmäßig nur eine untergeordnete Rolle. Er bezeichnet eine Erkrankung unklarer Ätiologie, die letztlich immer zu einer Nekrose des Os lunatum führt. Es betrifft überwiegend die dominante Hand jüngerer Männern, meist im Alter zwischen 20 und 40 Jahren. Die Behandlung reicht von der Ruhigstellung bis zur Revaskularisationsoperation des Os lunatum. Es gibt bisher keinen „Goldstandard“ in der Behandlung des Morbus Kienböck.

Abstract

Kienböck’s disease (carpal lunate necrosis or lunatomalacia) is the most common aseptic osteonecrosis of the upper extremity. Other bone necroses in the hand occur less frequently. The name indicates a disease with unclear etiology which eventually always leads to necrosis of the lunate bone. It usually affects the dominant hands of males between 20 and 40 years of age. Treatment methods extend from immobilization to revascularization surgery on the affected bone. There is still no gold standard for the treatment of Kienböck’s disease.

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  1. Klinik für Plastische und Handchirurgie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Krankenhausstraße 12, 91054, Erlangen, Deutschland

    R.E. Horch, F. Unglaub, A. Dragu, U. Kneser & A.D. Bach

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  1. R.E. Horch
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  2. F. Unglaub
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Horch, R., Unglaub, F., Dragu, A. et al. Morbus Kienböck. Chirurg 79, 452–460 (2008). https://doi.org/10.1007/s00104-008-1468-z

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