Radiologische Diagnostik der Lunatumnekrose*
| Autor: | S. Fröhner, U. Bartelmann, Karlheinz Kalb, Rainer Schmitt |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Ulnar impaction syndrome medicine.diagnostic_test Osteochondritis business.industry Lunate bone Magnetic resonance imaging Wrist medicine.disease Pseudarthrosis medicine.anatomical_structure medicine Orthopedics and Sports Medicine Surgery Radiology Kienböck's disease Differential diagnosis business |
| Zdroj: | Handchirurgie · Mikrochirurgie · Plastische Chirurgie. 33:365-378 |
| ISSN: | 1439-3980 0722-1819 |
| DOI: | 10.1055/s-2001-19454 |
| Popis: | In the literature little is to be found concerning diagnosis and differential diagnosis of Kienbock's disease. Because of technical development in radiological imaging, we now possess very detailed pictures. However, there are many radiological findings within the lunate bone, which can be misinterpreted as Kienbock's disease. Pathological findings of the lunate bone are demonstrated, which are not Kienbock's disease. These findings were compared to different stages of Kienbock's disease and identified. The early stages of Kienbock's disease show changes especially in the MRI, which are very similar to acute bone bruise, ulnar impaction syndrome, synovialitis or gout. Vessel tubes or an intraosseous ganglion can be mistaken for Kienbock's disease. In the late stages of Kienbock's disease, it can be difficult to differentiate this from pseudarthrosis of the lunate bone. The differentiation between Kienbock's disease and other pathological findings is at times very difficult--even with MRI. However, sometimes diagnosis can only be verified by MRI. We therefore suggest that Kienbock's disease must be correctly diagnosed with help of the MRI before commencing with any therapeutic steps. |
| Databáze: | OpenAIRE |
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