Kienbock's disease remains a difficult entity to treat. Until the etiology and natural history of the disease are understood, treatment will continue to be based on attempts to decrease load across the lunate or bring a blood supply to it. Although these procedures may improve symptoms, it remains unclear whether they will mitigate, halt, or even reverse the natural history of disease progression. For the present, the authors' approach focuses on alleviating patient symptoms, while taking into account the stage of the disease.

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