Arthroscopic assessment and treatment of kienböck’s disease

Abstract

Radiographic assessment of Kienböck’s disease has inherent limitations including the inability to directly assess the integrity of chondral surfaces. For this reason, wrist arthroscopy has become an indispensable tool in the assessment of lunate osteonecrosis. Arthroscopic classification can help guide the surgeon to the appropriate treatment option at each stage of the disease based on the status of the articular cartilage surfaces. Wrist arthroscopy is also useful in the treatment of this challenging disease. This chapter presents the benefits of wrist arthroscopy for evaluation and classification, and provides techniques and tips for utilizing arthroscopy in the surgical treatment of Kienböck’s disease.