Citation, DOI, disclosures and article data
Citation:
Lustosa L, Hacking C, Lichtman classification of Kienböck disease. Reference article, Radiopaedia.org (Accessed on 15 Jan 2025) https://doi.org/10.53347/rID-180819
Disclosures:
At the time the article was last revised Craig Hacking had the following disclosures:
- Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Craig Hacking's current disclosures
The Lichtman classification is the most used classification system for assessing Kienböck disease and is used to guide management and assess prognosis. It is based on the radiographic features of the lunate and adjacent carpals and radius.
Classification
stage 0: prenecrotic
stage I: normal radiograph, osteonecrosis noticeable on MRI or bone scan
stage II: lunate sclerosis
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stage III
IIIA: lunate collapse, radioscaphoid angle <60º
IIIB: lunate collapse and carpal instability, radioscaphoid angle >60º
IIIC: chronic coronal lunate fracture
stage IV: carpal collapse and perilunate arthrosis (Kienböck disease advanced collapse)
See also
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1. Lichtman D, Pientka W, Bain G. Kienböck Disease: A New Algorithm for the 21st Century. Jnl Wrist Surg. 2016;06(01):002-10. doi:10.1055/s-0036-1593734 - Pubmed
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2. Lesley N & Lichtman D. Classification and Treatment of Kienböck's Disease: A Review of the Past 100 Years, and a Look at the Future. Handchir Mikrochir Plast Chir. 2010;42(03):171-6. doi:10.1055/s-0030-1249611 - Pubmed
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