{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:13:51Z","timestamp":1753877631870,"version":"3.41.2"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Kienb\u00f6ck\u2019s disease, or lunate osteonecrosis, is a rare condition characterized by avascular necrosis of the lunate bone in the wrist. The pathophysiology involves disruption of blood supply to the lunate, leading to bone ischemia and subsequent collapse. This case report presents the clinical course and diagnostic challenges of a patient diagnosed with Kienb\u00f6ck\u2019s disease. This case highlights the challenges on the importance of early diagnosis and appropriate treatment to mitigate progression and improve patient outcomes.<\/jats:p>","DOI":"10.1093\/omcr\/omaf050","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T14:09:31Z","timestamp":1748441371000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical case report: understanding Kienb\u00f6ck\u2019s disease"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5550-276X","authenticated-orcid":false,"given":"Ricardo A","family":"Caravantes","sequence":"first","affiliation":[{"name":"Department of Medical Research, Universidad Francisco Marroqu\u00edn , 6a. Calle Final, Calle Manuel F. Ayau, Zona 10, \u00a0","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3135-732X","authenticated-orcid":false,"given":"Daniela","family":"Saenz","sequence":"additional","affiliation":[{"name":"Department of Medical Research, Universidad Francisco Marroqu\u00edn , 6a. Calle Final, Calle Manuel F. Ayau, Zona 10, \u00a0","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Favio","family":"Reyna","sequence":"additional","affiliation":[{"name":"Department of Medical Research, Universidad Francisco Marroqu\u00edn , 6a. Calle Final, Calle Manuel F. Ayau, Zona 10, \u00a0","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"2025052810092543400_ref1","doi-asserted-by":"publisher","first-page":"103161","DOI":"10.1016\/j.otsr.2021.103161","article-title":"Kienb\u00f6ck's disease in 2021","volume":"108","author":"Camus","year":"2022","journal-title":"Orthop Traumatol Surg Res"},{"key":"2025052810092543400_ref2","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1302\/0301-620X.90B2.20112","article-title":"Kienb\u00f6ck's disease","volume":"90-B","author":"Schuind","year":"2008","journal-title":"J Bone Joint Surg Br"},{"key":"2025052810092543400_ref3","first-page":"220","article-title":"The radiological prevalence of incidental Kienb\u00f6ck disease","volume":"4","author":"Golay","year":"2016","journal-title":"Arch Bone Jt Surg"},{"key":"2025052810092543400_ref4","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1055\/s-0036-1583755","article-title":"The etiology and pathogenesis of Kienb\u00f6ck disease","volume":"05","author":"Bain","year":"2016","journal-title":"J Wrist Surg"},{"key":"2025052810092543400_ref5","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1186\/1471-2474-13-225","article-title":"A systematic review of the etiopathogenesis of Kienb\u00f6ck's disease and a critical appraisal of its recognition as an occupational disease related to hand-arm vibration","volume":"13","author":"Stahl","year":"2012","journal-title":"BMC Musculoskelet Disord"},{"key":"2025052810092543400_ref6","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1007\/s00104-008-1468-z","article-title":"Morbus Kienb\u00f6ck. 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