scholarly journals Conservative management of kienbock's disease in a 24 year old adult : A case report

2015 ◽  
Vol 05 (03) ◽  
pp. 107-109
Author(s):  
Sanath Kumar Shetty ◽  
Aditya Ballal ◽  
H. Ravindranath Rai
Keyword(s):  
Case Report ◽  
Conservative Management ◽  
Radiological Findings ◽  
Left Wrist ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Acceptable Range ◽  
Old Adult ◽  
Late Stages ◽  
Kienbock’S Disease

AbstractKienbock's disease also known as Lunatomalacia is a rare disorder involving the lunate. Damage to the lunate can lead to pain, stiffness, and in late stages, arthritis of the wrist. This disease is most common in men between the ages of 20 and 40 and rarely affects both wrists. Here we present a 35 year old male manual labourer who presented to our department with complaints of progressive pain and stiffness of his dominant wrist.Radiographically he was diagnosed to have Lichtmann class IIIA Kienbock's disease of the left wrist. He was managed with analgesics and wrist physiotherapy. On a review at three months he had an acceptable range of motion of the wrist he was symptom free.This article presents our patients history, radiological findings and management.

scholarly journals Bilateral Kienböck’s disease concomitant with gouty arthritis

2020 ◽  
Vol 13 (3) ◽  
pp. e233725
Author(s):  
Deepak Chouhan ◽  
Vivek Shankar ◽  
Mohammed Tahir Ansari
Keyword(s):  
Gouty Arthritis ◽  
Left Wrist ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Daily Life Activities ◽  
History Of ◽  
Laboratory Investigations ◽  
History Of Pain ◽  
The Right ◽  
Kienbock’S Disease

A 38-year-old man presented with a 2-month history of pain and stiffness in the bilateral wrist. The pain in right wrist was disabling and severe enough to restrict the daily life activities. After the evaluation of clinical and radiological features, the patient was diagnosed with Kienböck’s disease Lichtman stage IIIB in the right wrist and stage IIIA in the left wrist. Routine laboratory investigations revealed a serum uric acid 9.27 mg/dL. Lunate excision and scaphocapitate fusion were done in the right wrist after discussing with the patient. The histopathological examinations of tophi in synovial tissue were negatively birefringent under polarised light microscopy. It confirmed the diagnoses of gout. Febuxostat was started postoperatively. The patient returned to work at the end of 5 months. There was no recurrence of symptoms and radiological signs of arthritis at the end of 1 year.

Kienböck’s Disease and Gout

1999 ◽  
Vol 24 (3) ◽  
pp. 363-365 ◽  
Author(s):  
A. Y. SHIN ◽  
L. P. WEINSTEIN ◽  
A. T. BISHOP
Keyword(s):  
Case Report ◽  
Single Case ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

A relationship between gout and Kienböck’s disease has been proposed on the basis of a previously published case report. A review of patients at our institution identified a single case with the combination of both Kienböck’s disease and gout. We believe that the association is coincidental.

Cyst-like lesions of the lunate resembling Kienböck's disease: A case report

2001 ◽  
Vol 26 (1) ◽  
pp. 130-134 ◽  
Author(s):  
Yoshinori Oka ◽  
Kanta Umeda ◽  
Masayoshi Ikeda
Keyword(s):  
Case Report ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

scholarly journals Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Nazım Karalezli ◽  
Aysun Uz ◽  
Ali Fırat Esmer ◽  
Mehmet Demirtaş ◽  
Arzu Gül Taşcı ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Cadaver Study ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Longus Tendon ◽  
Ligamentous Reconstruction ◽  
Tendon Interposition ◽  
Extensor Carpi Radialis ◽  
Late Stages ◽  
Kienbock’S Disease

Background. The optimal surgical treatment for Kienböck’s disease with stages IIIB and IV remains controversial. A cadaver study was carried out to evaluate the use of coiled extensor carpi radialis longus tendon for tendon interposition and a strip obtained from the same tendon for ligament reconstruction in the late stages of Kienböck’s disease.Methods.Coiled extensor carpi radialis longus tendon was used to fill the cavity of the excised lunate, and a strip obtained from this tendon was sutured onto itself after passing through the scaphoid and the triquetrum acting as a ligament to preserve proximal row integrity. Biomechanical tests were carried out in order to evaluate this new ligamentous reconstruction.Results. It was biomechanically confirmed that the procedure was effective against axial compression and distributed the upcoming mechanical stress to the distal row.Conclusion. Extensor carpi radialis longus tendon has not been used for tendon interposition and ligament reconstruction in the treatment of this disease before. In view of the biomechanical data, the procedure seems to be effective for the stabilization of scaphoid and carpal bones.

scholarly journals Doença de Kienböck: Um Relato de Caso / Kienböck's Disease: A Case Report

2021 ◽  
Vol 4 (3) ◽  
pp. 13860-13867
Author(s):  
Lucas Mike Naves Silva ◽  
Andreza Moreira Santos ◽  
Paulo Victor Lopes ◽  
Luany Patrícia Liberato De Oliveira ◽  
Felipe Zibetti Pereira ◽  
...  
Keyword(s):  
Case Report ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease
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