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Arthroscopic Core Decompression of the Lunate in Early Stage Kienbock Disease of the Lunate

Bain, Gregory I. MBBS, FRACS, FA(Ortho)A, PhD*,†,‡; Smith, Michael L. MBBS*; Watts, Adam C. MBBS, FRCS(Tr and Ortho)‡,§

Techniques in Hand & Upper Extremity Surgery: March 2011 - Volume 15 - Issue 1 - p 66–69
doi: 10.1097/BTH.0b013e3181e1d2b4
Kienböck's Disease: The Past 100 Years and a Look at the Future, Edited by Dr. Gregory I. Bain: Techniques

Since the first description of Kienbock disease in 1910, the etiology and treatment have remained controversial topics. Core decompression is an accepted treatment option in early-stage avascular necrosis of the femoral head, and more recently the humeral head. This paper reports the technique of arthroscopic fluoroscopically guided core decompression of the lunate with 6-year results.

*University of Adelaide, Department of Orthopaedic and Trauma

Royal Adelaide Hospital

Modbury Public Hospital, South Australia

§University of Edinburgh, Department of Orthopaedic Surgery, UK

No funding for research on which this article is based from any organizations.

Address correspondence and reprint requests to Gregory I. Bain, MBBS, FRACS, FA(Ortho)A, PhD, 196 Melbourne Street, North Adelaide, South Australia, 5006, Australia. e-mail:

All authors declare no conflicts of interests can be attributed to this paper.

Received August 26, 2009

Accepted March 30, 2010

© 2011 Lippincott Williams & Wilkins, Inc.