Children and adolescents under 15 years of age with Kienbock disease form a distinct prognostic group, managed along a dedicated clinical pathway. When the initial nonoperative approach has not achieved its imaging goal, a defined next step is indicated.
Patient under 15 years of age with Kienbock disease. This younger age group is recognised as a separate prognostic category from adult-onset disease, with its own management pathway.
Nonoperative management with wrist immobilization was the first-line approach for infantile Kienbock disease. Progression to this next protocol line is indicated when that treatment has not achieved lunate revascularization on MRI.
The protocol for this situation centres on a minimally invasive procedure of the wrist. The complete eligibility criteria, procedural details, and decision algorithm are contained in the full structured protocol.
Full regimen and clinical algorithm not shown here.DOI: 10.1055/s-0037-1604137
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