A hand therapy protocol for the treatment of lunate overload or early Kienbock's disease

Partial capitate shortening for Kienböck’s disease

“…Although our series was small, there have been only two previous case reports of PCS, with good results (Moritomo et al, 2004;Wollstein et al, 2013) and no previous case series.…”

Orthotic intervention incorporating the dart-thrower's motion as part of conservative management guidelines for treatment of scapholunate injury

“…18,27,28 The DTO was worn in conjunction with a rehabilitative program designed to increase proprioceptive input and maximize the activation of secondary stabilizers in the absence of an intact SLIL. The program is a modification of previously reported protocols 26,29,30 and includes additional strategies based on the authors' clinical experience.…”

Non-operative Treatment of Kienbock’s Disease, Systematic Literature Review and Report on Three Cases

“…Six studies found that the disease can progress with operative or non-operative treatment [9][10][11][12][13]. Six studies also found that patients symptoms can improve with non-operative treatment [8,[13][14][15][16][17]. Symptoms were not correlated with stage of disease or its progression in five studies [15,[17][18][19][20].…”

“…Three studies deemed that non-operative treatment was not adequate. Kristensen compared immobilization to no treatment at all and found immobilization was not superior to no treatment [8]. They found that poor outcomes were often secondary to osteoarthritis as a sequela.…”

“…Additionally, we examine the evidence to determine superiority of surgery over non-operative treatments. Nonoperative treatments including watchful waiting, activity modification, bracing, hand therapy, and cast immobilization have been utilized [8].…”