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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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