{"id":3517,"date":"2025-02-06T11:16:12","date_gmt":"2025-02-06T11:16:12","guid":{"rendered":"https:\/\/cyprushandsurgery.com\/?page_id=3517"},"modified":"2026-08-16T23:33:12","modified_gmt":"2026-08-16T20:33:12","slug":"kienbocks-disease","status":"publish","type":"page","link":"https:\/\/cyprushandsurgery.com\/el\/conditions-and-treatments\/kienbocks-disease\/","title":{"rendered":"\u039d\u03cc\u03c3\u03bf\u03c2 \u03c4\u03bf\u03c5 Kienb\u00f6ck"},"content":{"rendered":"<style>body.page-id-3517 .fusion-page-title-bar{display:none!important}.chs-detail{--navy:#102c4c;--blue:#1f5f9f;--sky:#eaf3f8;--orange:#ef8b3d;--ink:#152333;--muted:#607080;--line:#dce7ee;font-family:Mulish,Arial,sans-serif;color:var(--ink);line-height:1.7}.chs-detail *{box-sizing:border-box}.chs-detail a{text-decoration:none}.chs-detail .wrap{width:min(1120px,calc(100% - 40px));margin:auto}.chs-detail h1,.chs-detail h2,.chs-detail h3{font-family:\"Barlow Condensed\",Arial,sans-serif;color:var(--navy);line-height:1.08;margin:0}.chs-detail h1{font-size:clamp(52px,6vw,78px)}.chs-detail h2{font-size:clamp(36px,4vw,50px)}.chs-detail h3{font-size:27px}.chs-detail p,.chs-detail li{color:var(--muted);font-size:17px}.chs-detail p{margin:0}.chs-detail .eyebrow{display:inline-flex;align-items:center;gap:9px;color:var(--blue);font-size:12px;font-weight:900;letter-spacing:.12em;text-transform:uppercase}.chs-detail .eyebrow:before{content:\"\";width:26px;height:2px;background:var(--orange)}.cd-hero{padding:70px 0 65px;background:linear-gradient(120deg,#f7fbfd,#e6f1f7)}.cd-breadcrumb{font-size:13px;color:#728395;margin-bottom:38px}.cd-breadcrumb a{color:var(--blue);font-weight:800}.cd-hero-grid{display:grid;grid-template-columns:1.25fr .75fr;gap:70px;align-items:center}.cd-copy{display:grid;gap:22px}.cd-lead{font-size:20px!important;max-width:670px}.cd-hero-art{min-height:370px;border-radius:28px;background:#fff;display:grid;place-items:center;box-shadow:0 22px 60px rgba(16,44,76,.1);overflow:hidden}.cd-hero-art img{width:78%;height:300px;object-fit:contain}.cd-monogram{font-family:\"Barlow Condensed\",Arial,sans-serif;font-size:88px;color:var(--blue);opacity:.28}.cd-actions{display:flex;gap:12px;flex-wrap:wrap}.cd-btn{display:inline-flex;min-height:50px;padding:0 23px;align-items:center;border-radius:999px;font-weight:900}.cd-primary{background:var(--orange);color:#162536}.cd-outline{border:1px solid #b8cbd8;color:var(--navy);background:#fff}.cd-summary{background:#fff;border-bottom:1px solid var(--line)}.cd-summary-grid{display:grid;grid-template-columns:repeat(3,1fr)}.cd-fact{padding:27px 30px;border-right:1px solid var(--line)}.cd-fact:last-child{border:0}.cd-fact strong{display:block;color:var(--navy);font-size:14px}.cd-fact span{display:block;color:var(--muted);font-size:13px;margin-top:3px}.cd-body{padding:92px 0;background:#fff}.cd-layout{display:grid;grid-template-columns:minmax(0,1fr) 320px;gap:80px;align-items:start}.cd-content{display:grid;gap:70px}.cd-section{display:grid;gap:18px;padding-bottom:62px;border-bottom:1px solid var(--line)}.cd-section:last-child{border:0;padding-bottom:0}.cd-section ul,.cd-section ol{margin:0;padding-left:22px;display:grid;gap:9px}.cd-number{color:var(--orange);font-weight:900;font-size:12px;letter-spacing:.12em}.cd-aside{position:sticky;top:35px;display:grid;gap:18px}.cd-card{padding:28px;border-radius:20px;background:var(--navy);color:#fff}.cd-card h3{color:#fff}.cd-card p{color:#c5d6e1;font-size:15px;margin:12px 0 20px}.cd-card a{display:flex;justify-content:center;align-items:center;min-height:48px;border-radius:999px;background:var(--orange);color:#172333;font-weight:900}.cd-nav{padding:24px;border:1px solid var(--line);border-radius:20px}.cd-nav strong{display:block;color:var(--navy);margin-bottom:12px}.cd-nav a{display:block;padding:9px 0;color:var(--blue);font-weight:700;font-size:14px}.cd-note{padding:25px;border-left:4px solid var(--orange);background:#fff7f0;border-radius:0 16px 16px 0}.cd-note strong{display:block;color:var(--navy);margin-bottom:4px}.cd-note p{font-size:15px}.cd-cta{padding:75px 0;background:var(--sky)}.cd-cta-box{display:flex;justify-content:space-between;align-items:center;gap:30px}.cd-cta-copy{display:grid;gap:12px}.cd-cta h2{font-size:clamp(38px,4vw,52px)}@media(max-width:850px){.cd-hero-grid,.cd-layout{grid-template-columns:1fr;gap:45px}.cd-hero-art{min-height:300px}.cd-aside{position:static}.cd-summary-grid{grid-template-columns:1fr}.cd-fact{border-right:0;border-bottom:1px solid var(--line);padding-left:0;padding-right:0}.cd-cta-box{align-items:flex-start;flex-direction:column}.cd-body{padding:70px 0}}@media(max-width:540px){.chs-detail .wrap{width:calc(100% - 28px)}.cd-hero{padding:45px 0}.chs-detail h1{font-size:48px}.cd-lead{font-size:18px!important}.cd-body{padding:58px 0}.cd-content{gap:52px}.cd-section{padding-bottom:48px}}<\/style>\n<div class=\"chs-detail\">\n<section class=\"cd-hero\">\n<div class=\"wrap\">\n<div class=\"cd-breadcrumb\"><a href=\"\/el\/\">\u0391\u03c1\u03c7\u03b9\u03ba\u03ae<\/a> &nbsp;\/&nbsp; <a href=\"\/el\/conditions-and-treatments\/\">\u03a0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2<\/a> &nbsp;\/&nbsp; Kienbocks Disease<\/div>\n<div class=\"cd-hero-grid\">\n<div class=\"cd-copy\"><span class=\"eyebrow\">Hand, wrist &amp; upper-limb care<\/span><\/p>\n<h1>\u039d\u03cc\u03c3\u03bf\u03c2 \u03c4\u03bf\u03c5 Kienb\u00f6ck<\/h1>\n<p class=\"cd-lead\">Kienbock\u2019s Disease, also known as avascular necrosis of the lunate, is a condition in which the lunate bone\u2014a central carpal bone in the wrist\u2014loses its blood supply, resulting in the death of the bone. The lunate plays a critical role in wrist movement and stability, working together with adjacent bones in the proximal carpal row to form a flexible joint with the forearm. Damage to the lunate can lead to pain, stiffness, and eventually arthritis of the wrist. This disease most commonly affects men between the ages of 20 and 40 and rarely occurs in both wrists.<\/p>\n<div class=\"cd-actions\"><a class=\"cd-btn cd-primary\" href=\"\/el\/contact-us\/\">Request a consultation<\/a><a class=\"cd-btn cd-outline\" href=\"tel:+35797760076\">Call +357 97 760076<\/a><\/div>\n<\/div>\n<div class=\"cd-hero-art\"><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27280%27%20height%3D%27300%27%20viewBox%3D%270%200%20280%20300%27%3E%3Crect%20width%3D%27280%27%20height%3D%27300%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/cyprushandsurgery.com\/wp-content\/uploads\/2025\/02\/Kienbock_Fig21-280x300-1.jpg\" alt=\"Kienbocks Disease illustration\"><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"cd-summary\">\n<div class=\"wrap cd-summary-grid\">\n<div class=\"cd-fact\"><strong>Typical presentation<\/strong><span>Symptoms vary according to the condition and its severity<\/span><\/div>\n<div class=\"cd-fact\"><strong>Assessment<\/strong><span>Focused clinical examination with appropriate imaging or tests<\/span><\/div>\n<div class=\"cd-fact\"><strong>\u0398\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1<\/strong><span>An individual plan based on symptoms, function and goals<\/span><\/div>\n<\/div>\n<\/section>\n<section class=\"cd-body\">\n<div class=\"wrap cd-layout\">\n<div class=\"cd-content\">\n<section id=\"causes\" class=\"cd-section\"><span class=\"cd-number\">01 \u00b7 CAUSES<\/span><\/p>\n<h2>\u0391\u03b9\u03c4\u03af\u03b5\u03c2<\/h2>\n<p>There is likely no single cause for the avascular necrosis of the lunate. Instead, its development may involve multiple factors related to blood supply, drainage, and inherent skeletal variations. Certain anatomical differences, such as a shorter ulna relative to the radius or an unusual shape of the lunate itself, may predispose an individual to the condition. Additionally, trauma\u2014whether a single incident or repeated micro-injuries\u2014may contribute in some cases. The disease is also more frequently seen in individuals with systemic conditions that affect blood flow, including lupus, sickle cell anemia, and cerebral palsy.<\/p>\n<\/section>\n<section id=\"signs-and-symptoms\" class=\"cd-section\"><span class=\"cd-number\">02 \u00b7 SIGNS AND SYMPTOMS<\/span><\/p>\n<h2>Signs and Symptoms<\/h2>\n<p>Patients typically present with wrist pain, often accompanied by tenderness directly over the lunate bone. As the condition progresses, the wrist may exhibit reduced range of motion and stiffness, with swelling sometimes present in the early stages. Initially, X-rays might appear normal despite symptoms, requiring more sensitive imaging techniques\u2014such as Magnetic Resonance Imaging (MRI) or CT scans\u2014to assess the blood supply and structure of the lunate. The disease is generally classified into four stages:<\/p>\n<ul>\n<li><strong>Stage 1:<\/strong> The lunate loses its blood supply and becomes painful, although X-rays appear normal.<\/li>\n<li><strong>Stage 2:<\/strong> The bone becomes denser on X-ray as it hardens from the lack of blood supply.<\/li>\n<li><strong>Stage 3:<\/strong> The lunate begins to collapse and fragment.<\/li>\n<li><strong>Stage 4:<\/strong> The lunate is severely collapsed, and degenerative changes occur in the surrounding bones, leading to arthritis.<\/li>\n<\/ul>\n<p>Not every case advances through all these stages to severe arthritis, and the progression can be slow, occurring over many years.<\/p>\n<\/section>\n<section id=\"treatment\" class=\"cd-section\"><span class=\"cd-number\">03 \u00b7 TREATMENT<\/span><\/p>\n<h2>\u0398\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1<\/h2>\n<p>Treatment options are tailored to the severity and stage of the disease. In the early stages, conservative management\u2014such as observation or immobilization\u2014may be sufficient to alleviate symptoms. For more advanced cases, surgical interventions are often considered to reduce the stress on the lunate. These procedures may involve altering the biomechanics of the wrist by lengthening or shortening the forearm bones, fusing certain joints, or attempting to restore blood supply to the lunate through revascularization techniques that include a bone graft with an attached blood vessel. In cases where the joint relationship has significantly deteriorated, complete wrist fusion might be the preferred option. While hand therapy cannot reverse the disease, it plays an important role in relieving pain and improving function. Treatment outcomes vary widely and may require multiple approaches over several months to achieve the best possible result.<\/p>\n<\/section>\n<section id=\"key-takeaways\" class=\"cd-section\"><span class=\"cd-number\">04 \u00b7 KEY TAKEAWAYS<\/span><\/p>\n<h2>\u0392\u03b1\u03c3\u03b9\u03ba\u03ac \u03c3\u03b7\u03bc\u03b5\u03af\u03b1<\/h2>\n<ul>\n<li><span><i><\/i><\/span>\n<div>\n<p>Kienbock\u2019s Disease is the avascular necrosis of the lunate, leading to wrist pain and eventual arthritis.<\/p>\n<\/div>\n<\/li>\n<li><span><i><\/i><\/span>\n<div>\n<p>The condition is multifactorial, with contributions from blood supply issues, skeletal variations, and possible trauma.<\/p>\n<\/div>\n<\/li>\n<li><span><i><\/i><\/span>\n<div>\n<p>Treatment ranges from conservative management in early stages to various surgical procedures in advanced cases, with hand therapy aiding in functional improvement.<\/p>\n<\/div>\n<\/li>\n<\/ul>\n<\/section>\n<\/div>\n<aside class=\"cd-aside\">\n<div class=\"cd-card\">\n<h3>Not sure what is causing your symptoms?<\/h3>\n<p>A specialist consultation can clarify the diagnosis and appropriate next steps.<\/p>\n<p><a href=\"\/el\/contact-us\/\">Arrange an appointment<\/a><\/div>\n<nav class=\"cd-nav\"><strong>On this page<\/strong><a href=\"#causes\">\u0391\u03b9\u03c4\u03af\u03b5\u03c2<\/a><a href=\"#signs-and-symptoms\">Signs and Symptoms<\/a><a href=\"#treatment\">\u0398\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1<\/a><a href=\"#key-takeaways\">\u0392\u03b1\u03c3\u03b9\u03ba\u03ac \u03c3\u03b7\u03bc\u03b5\u03af\u03b1<\/a><\/nav>\n<\/aside>\n<\/div>\n<\/section>\n<section class=\"cd-cta\">\n<div class=\"wrap cd-cta-box\">\n<div class=\"cd-cta-copy\"><span class=\"eyebrow\">Specialist assessment<\/span><\/p>\n<h2>Get clarity on your hand symptoms<\/h2>\n<p>Discuss your symptoms and treatment options with Dr. Constantinos Kritiotis.<\/p>\n<\/div>\n<div class=\"cd-actions\"><a class=\"cd-btn cd-primary\" href=\"\/el\/contact-us\/\">Request a consultation<\/a><\/div>\n<\/div>\n<\/section>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Home &nbsp;\/&nbsp; Conditions &nbsp;\/&nbsp; Kienbocks Disease Hand, wrist &amp; upper-limb  [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2727,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3517","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Advanced diagnosis and treatment for Kienbock\u2019s Disease at Cyprus Hand Surgery.\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"google-site-verification\" content=\"m3TAskWFd5emVyFXqm8ClRUwuKpJGY7RdA42ZUU3ibI\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/cyprushandsurgery.com\/el\/conditions-and-treatments\/kienbocks-disease\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.0.1\" \/>\n\t\t<meta property=\"og:locale\" content=\"el_GR\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Cyprus Hand Surgery - Dr. Kritiotis\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"Kienbock\u2019s Disease Expert in Cyprus | Dr. Kritiotis\" \/>\n\t\t<meta property=\"og:description\" content=\"Advanced diagnosis and treatment for Kienbock\u2019s Disease at Cyprus Hand Surgery.\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/cyprushandsurgery.com\/el\/conditions-and-treatments\/kienbocks-disease\/\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2025-02-06T11:16:12+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2026-08-16T20:33:12+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"Kienbock\u2019s Disease Expert in Cyprus | Dr. Kritiotis\" \/>\n\t\t<meta name=\"twitter:description\" content=\"Advanced diagnosis and treatment for Kienbock\u2019s Disease at Cyprus Hand Surgery.\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/cyprushandsurgery.com\\\/el\\\/conditions-and-treatments\\\/kienbocks-disease\\\/#breadcrumblist\",\"itemListElement\":[{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/cyprushandsurgery.com\\\/el#listItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/cyprushandsurgery.com\\\/el\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/cyprushandsurgery.com\\\/el\\\/conditions-and-treatments\\\/#listItem\",\"name\":\"Conditions &#038; 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