Stahl classification of Kienböck disease (historical)

Changed by Vincent Tatco, 10 Feb 2017

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The Stahl classification of Kienbock disease, modified by Lichtman, is the most commonly used staging system and is useful in in the treatment of Kienbock disease (avascular necrosis of the lunate). This system divides the disease into four stages: 

  • stage I: normal radiograph
  • stage II: increased radiodensity of the lunate with possible decrease of lunate height on the radial side only
  • stage III
    • IIIa: lunate collapse, no scaphoid rotation
    • IIIb: lunate collapse, fixed scaphoid rotation
  • stage IV: degenerative changes around lunate
  • -<p>The <strong>Stahl classification of Kienbock disease</strong>, modified by Lichtman, is the most commonly used staging system and is useful in the treatment of <a href="/articles/kienbock-disease">Kienbock disease</a> (avascular necrosis of the lunate). This system divides the disease into four stages: </p><ul>
  • +<p>The <strong>Stahl classification of Kienbock disease</strong>, modified by Lichtman, is the most commonly used staging system and is useful in the treatment of <a href="/articles/kienbock-disease-2">Kienbock disease</a> (avascular necrosis of the lunate). This system divides the disease into four stages: </p><ul>
  • -<strong>stage II:</strong> increased radiodensity of lunate with possible decrease of lunate height on radial side only</li>
  • +<strong>stage II:</strong> increased radiodensity of the lunate with possible decrease of lunate height on the radial side only</li>

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