lunatomalacia

When the lunate (os lunatum) on the wrist partially or completely dies, this is called lunate malacia. Below we describe symptoms, causes and treatment options.

Contents:
Synonyms
Symptoms of lunatemalacia
Causes of lunatemalacia
Lunatummalacia and Naturopathy
history

Synonyms

Lunatemalacia, Lunatum necrosis, Moonbite death, Moonbone necrosis, Moonbone malacia, Kienböck's disease, Kienböck's disease, Continuum distortion on the wrist, Anterior Wrist Continuum Distortion, AWCD, Aseptic necrosis, Kienbock's disease, Lunatomalacia, wrist trigger band, wrist aseptic necrosis.

Symptoms of lunatemalacia

The symptoms proceed in different stages. Those affected often complain of punctate sharp pain on the back of the wrist (wrist pain) or drawing pain into the forearm (forearm pain). This can be accompanied by a loss of strength and thus weakness in the wrist. Movement restrictions described in the orthopedic literature are often due to the pain and not infrequently exclusively in a plane of movement (when the hand is taken upwards as a greeting or bent outward).

Causes of lunatemalacia

There is no clear scientifically proven cause for lunate malacia yet. It is believed that high load fractures, such as working on the jackhammer, can damage the supplying artery.

Lunatummalacia and Naturopathy

In manual treatment, most efforts are made to restore mobility and gain pain relief or relief. So far the most effective seems to be the Fascial Distortion Model (FDM) according to Dr. med. Stephen Typaldos, D.O., who points out the symptoms quite differently than in conventional medicine. The sharp pain on the wrist is regarded as a disorder in the zone of bone and ligament and treated with strong thumb pressure. She is considered responsible for pain and movement restriction.

History of lunatemalacia

The symptoms of lunate malacia have been described in the literature for some time, but only with the introduction of X-ray technology, the lunar bone was located as a triggering factor. Since the Viennese doctor and radiologist Dr. med. med. Robert Kienböck (1873-1951) first described lunatemalacia around 1910, many descriptions of lunateal necrosis can be found under his name, such as Kienböck's disease or Kienböck's disease. In the same year, when Kienböck discovered the Lunatumnekrose, he suffered a broken bone on the head in a fall from the horse, which he then retired and later suffered from depression. (Tf)