Szabo R M, Greenspan A
Department of Orthopaedic Surgery, University of California, Davis, Sacramento.
Hand Clin. 1993 Aug;9(3):399-408.
The clinical presentation and history of patients with Kienböck's disease do not permit differentiating avascular necrosis of the lunate from vague wrist pathology of a variety of causes. Diagnosis and evaluation of this disorder therefore require appropriate imaging studies. Plain-film radiography, tomography, and bone scintigraphy are useful screening tests, but MRI yields a definitive diagnosis. CT is also valuable for delineating structural changes and the amount of collapse in the lunate. The staging of Kienböck's disease is based on clinical and radiographic data.
月骨无菌性坏死患者的临床表现和病史无法将月骨缺血性坏死与各种原因引起的手腕模糊病变区分开来。因此，对这种疾病的诊断和评估需要进行适当的影像学检查。X线平片、体层摄影和骨闪烁显像都是有用的筛查试验，但磁共振成像（MRI）可做出明确诊断。计算机断层扫描（CT）对于描绘月骨的结构变化和塌陷程度也很有价值。月骨无菌性坏死的分期基于临床和影像学数据。
