Orthonotes
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Kienböck Disease

Avascular necrosis of lunate; affects young adults, more in men. Risk factors: negative ulnar variance, trauma, vascular anomalies. Lichtman staging I–IV guides management. Symptoms: chronic dorsal wrist pain, stiffness, grip weakness. Treatment: Stage I—immobilization; II—revascularization procedures; III—capitate shortening/limited fusion; IV—proximal row carpectomy or arthrodesis.

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Avascular necrosis of lunate; affects young adults, more in men. Risk factors: negative ulnar variance, trauma, vascular anomalies. Lichtman staging I–IV guides management. Symptoms: chronic dorsal wrist pain, stiffness, grip weakness. Treatment: Stage I—immobilization; II—revascularization procedures; III—capitate shortening/limited fusion; IV—proximal row carpectomy or arthrodesis.
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Question 1

What is the primary cause of Kienböck disease?

Question 2

At what age range is Kienböck disease most commonly diagnosed?

Question 3

Which of the following is a risk factor associated with Kienböck disease?

Question 4

In Lichtman staging, what is the management option for Stage I Kienböck disease?

Question 5

What radiological finding is characteristic of Stage II Kienböck disease?

Question 6

What symptom is most commonly associated with Kienböck disease?

Question 7

In which stage of Kienböck disease does fixed scaphoid rotation develop?

Question 8

What is the recommended treatment for Stage IV Kienböck disease?

Question 9

What is the main blood supply to the lunate?

Question 10

Which surgical procedure is often performed in patients with negative ulnar variance and Kienböck disease?