AI Article Synopsis
- A popular treatment algorithm for Kienböck disease was developed in the 1970s and is based on specific radiographic changes.
- Two additional classification systems have since been created, focusing on MRI findings and articular cartilage degeneration.
- A new unified classification system has been developed to simplify treatment decisions by combining these three systems and considering recent surgical options and different age groups affected by Kienböck disease.
Article Abstract
One of the most popular treatment algorithms for Kienböck disease is based on a progression of successive radiographic changes that was developed in the 1970s. Since then, 2 other important classifications systems have been introduced. One is centered on contrasted magnetic resonance imaging findings and the other, articular cartilage degeneration. All 3 systems have been used, in isolation, to recommend specific treatment modalities. To coordinate all available clinical data and to simplify the treatment selection process, we combined the 3 classification systems into 1 unified classification and treatment algorithm. With the added consideration of some recently introduced surgical options and further knowledge of how Kienböck disease affects children and the elderly, we anticipate that this unified classification system will allow for a more precise and individualized treatment plan.
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| http://dx.doi.org/10.1016/j.jhsa.2022.03.014 | DOI Listing |
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