علاج داء كينبوك لدى البالغين الذين تتراوح أعمارهم بين 21 و69 عامًا مع عظم قمر سليم

References

DOI: 10.1055/s-0037-1604137

• For patients, 21 to 69 years, proceed to sections B or C, as appropriate.
• The lunate is "intact" if it is not fractured and the articular surfaces are "functional."
• Lichtman stages 0, I, and II, Schmitt stage A, and Bain grade 0 all represent an intact lunate.
• In the earliest stages, patients are managed nonoperatively for at least 3 months (e.g., short arm cast or splint), however, minimally invasive techniques may be appropriate as well.
• Patients are advised to avoid strenuous activities or lifting over 5 kg (10 lb).
• Medical causes of osteonecrosis should be treated.
• If the patient is symptomatic after 3 months, or imaging demonstrates disease progression, a lunate unloading or revascularization procedure is considered.