{"id":1253,"date":"2024-04-15T12:52:19","date_gmt":"2024-04-15T10:52:19","guid":{"rendered":"https:\/\/imppact-chirurgie.fr\/?page_id=1253"},"modified":"2024-10-08T13:12:44","modified_gmt":"2024-10-08T11:12:44","slug":"maladie-de-kienbock","status":"publish","type":"page","link":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/maladie-de-kienbock\/","title":{"rendered":"Maladie de Kienbock"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb width=\u00a0\u00bb99.8%\u00a0\u00bb min_height=\u00a0\u00bb157.8px\u00a0\u00bb custom_margin=\u00a0\u00bb||-49px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb12px||14px|0px||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>Maladie de Kienbock<\/h2>\n<p class=\"p1\" style=\"text-align: justify;\">C\u2019est une pathologie rare, d\u00e9finie comme \u00e9tant la n\u00e9crose aseptique du lunatum. Il s\u2019agit donc de la mort cellulaire de tout ou partie de cet os central du poignet. Son origine est encore incertaine, mais elle fait l\u2019objet de recherches continues depuis une centaine d\u2019ann\u00e9es. Pour ce que nous en savons, la n\u00e9crose osseuse serait due \u00e0 une congestion veineuse dans l\u2019os, entra\u00eenant une hyperpression intraosseuse, source de mort cellulaire.<\/p>\n<p style=\"text-align: justify;\">L\u2019\u00e9volution naturelle conduit le lunatum n\u00e9cros\u00e9 \u00e0 se ramollir, se fragmenter, ce qui entra\u00eene \u00e0 moyen terme une d\u00e9sorganisation, voire une destruction arthrosique du poignet. Cette pathologie est fort douloureuse et invalidante.<\/p>\n<p style=\"text-align: justify;\">Le diagnostic repose sur l\u2019association de la radiographie, de l\u2019IRM, et de l\u2019arthroscopie (examen du poignet sous anesth\u00e9sie \u00e0 l\u2019aide d\u2019une cam\u00e9ra introduite dans l\u2019articulation). Depuis un si\u00e8cle, beaucoup de traitements ont \u00e9t\u00e9 tent\u00e9s.<\/p>\n<p style=\"text-align: justify;\">L\u2019immobilisation du poignet et le repos des activit\u00e9s est parfois suffisant chez l\u2019adolescent ou la personne fort \u00e2g\u00e9e.<br \/>Ils sont en revanche souvent insuffisants chez l\u2019adulte actif, et un geste chirurgical est g\u00e9n\u00e9ralement recommand\u00e9.<br \/>Si le lunatum est encore conservable, l\u2019essentiel des traitements repose la d\u00e9compression de ce lunatum, pour \u00e9viter sa fragmentation, et dans une certaine mesure, permettre sa r\u00e9habitation spontan\u00e9e par essaimage de cellules vivantes provenant des os voisins, ce qui peut aboutir \u00e0 sa gu\u00e9rison. La d\u00e9compression repose le plus souvent sur une intervention modifiant la forme ou la taille des os voisins (ost\u00e9otomie). Une des plus r\u00e9centes \u00e9volution de ce type de chirurgie est repr\u00e9sent\u00e9 par l\u2019ost\u00e9otomie dite \u00a0\u00bb camembert \u00ab\u00a0.<br \/>Ce processus de r\u00e9habitation cellulaire de l\u2019os est toutefois lent et incertain, et \u00e0 ce jour, aucune technologie biologique ne peut forcer ou remplacer ce processus naturel.<br \/>Si le lunatum n\u2019est plus conservable, des interventions plus lourdes que la d\u00e9compression, dites palliatives, peuvent sauver dans une certaine mesure la fonction du poignet en diminuant les douleurs. Elles ne permettent toutefois pas de retrouver un poignet intact.<br \/>Si l\u2019\u00e9volution est d\u00e9favorable, il est donc important de ne pas attendre la destruction du poignet pour envisager une intervention de d\u00e9compression.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb44px||26px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><span>Imagerie (\u00a9 Professeur Emmanuel Camus)<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/kienbock-1.jpg\u00a0\u00bb alt=\u00a0\u00bbMaladie de Kienbock 1&Prime; title_text=\u00a0\u00bbkienbock-1&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/kienbock-2.jpg\u00a0\u00bb alt=\u00a0\u00bbMaladie de Kienbock 2&Prime; title_text=\u00a0\u00bbkienbock-2&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><em>(Ci-dessus) Maladie de Kienb\u00f6ck apr\u00e8s ost\u00e9otomie Camembert \u00e0 2 mois. On distingue le mat\u00e9riel m\u00e9tallique (agrafe et vis) qui maintiennent la nouvelle forme des os voisins.<\/em><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><em>(A gauche) Maladie de Kienb\u00f6ck avant chirurgie.<br \/>Le cercle rouge indique le lunatum n\u00e9cros\u00e9, irr\u00e9gulier.<\/em><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/kienbock-3.jpg\u00a0\u00bb alt=\u00a0\u00bbMaladie de kienbock 3&Prime; title_text=\u00a0\u00bbkienbock-3&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><em>(Ci-dessus) Maladie de Kienb\u00f6ck apr\u00e8s ost\u00e9otomie Camembert \u00e0 8 mois.<br \/>Les irr\u00e9gularit\u00e9s diminuent.<\/em><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<div class=\"et_pb_module et_pb_text et_pb_text_6  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<p><em>(A droite) Maladie de Kienb\u00f6ck apr\u00e8s ablation du mat\u00e9riel.<br \/>Le lunatum est gu\u00e9ri.<\/em><\/p>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/kienbock-4.jpg\u00a0\u00bb alt=\u00a0\u00bbMaladie Kienbock 4&Prime; title_text=\u00a0\u00bbkienbock-4&Prime; _builder_version=\u00a0\u00bb4.24.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb min_height=\u00a0\u00bb325px\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.3&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb width=\u00a0\u00bb99.8%\u00a0\u00bb min_height=\u00a0\u00bb183.2px\u00a0\u00bb custom_margin=\u00a0\u00bb-10px||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb13px|||0px||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<div class=\"et_pb_with_border et_pb_module et_pb_text et_pb_text_1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<div class=\"et_pb_with_border et_pb_module et_pb_text et_pb_text_2  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<div class=\"et_pb_with_border et_pb_module et_pb_text et_pb_text_1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<p><span><strong>Bibliographie :<br \/><\/strong><\/span><br \/>\u2013 La Maladie de Kienb\u00f6ck en 2021 \u2013 Camus EJ, Van Overstraeten L. Revue de Chirurgie Orthop\u00e9dique et Taumatologique Nov 2021.<\/p>\n<p>\u2013 Lunate biomechanics : application to Kienb\u00f6ck\u2019s disease and its treatment. Camus EJ, Van Overstraeten L, Schuind F. Hand Surg. Rehab. 2021;40:117-25.<\/p>\n<p>\u2013 Lunate loads following different osteotomies used to treat Kienb\u00f6ck\u2019s disease: A 3D finite element analysis. Camus EJ, Aimar A, Van Overstraeten L, Schuind F, Innocenti .B. Clin Biomech 2020;78:105090. https:\/\/doi.org\/10.1016\/j.clinbiomech.2020.105090<\/p>\n<p>\u2013 Evaluation of Kienb\u00f6ck\u2019s Disease Treated by Camembert Osteotomy at Seven Years. Camus EJ, Van Overstraeten L. J. Wrist Surg. 2019;8:226-33.<\/p>\n<p>\u2013 Surgical technique of a new radial wedge \u00ab\u00a0camembert\u00a0\u00bb osteotomy in Kienb\u00f6ck\u2019s disease. E.J. Camus, L. Van Overstraeten. Tech Hand Upper Extr. Surg 16(2): 75-9.<\/p>\n<p class=\"p1\" style=\"text-align: justify;\">\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_2  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Maladie de Kienbock C\u2019est une pathologie rare, d\u00e9finie comme \u00e9tant la n\u00e9crose aseptique du lunatum. Il s\u2019agit donc de la mort cellulaire de tout ou partie de cet os central du poignet. Son origine est encore incertaine, mais elle fait l\u2019objet de recherches continues depuis une centaine d\u2019ann\u00e9es. Pour ce que nous en savons, la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1170,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-1253","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Maladie de Kienbock | IMPPACT Chirurgie<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/maladie-de-kienbock\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Maladie de Kienbock | IMPPACT Chirurgie\" \/>\n<meta property=\"og:description\" content=\"Maladie de Kienbock C\u2019est une pathologie rare, d\u00e9finie comme \u00e9tant la n\u00e9crose aseptique du lunatum. Il s\u2019agit donc de la mort cellulaire de tout ou partie de cet os central du poignet. Son origine est encore incertaine, mais elle fait l\u2019objet de recherches continues depuis une centaine d\u2019ann\u00e9es. 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