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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2015; 05(03): 107-109
DOI: 10.1055/s-0040-1703922
Case Report

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

Sanath Kumar Shetty
1   Assistant Professor, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
,
Aditya Ballal
2   Postgraduate, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
,
H. Ravindranath Rai
3   Professor & HOD, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
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Abstract

Kienbock'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.

Keywords

Lunatomalacia - avascular necrosis - Kienbock


Publication History

Article published online:
22 April 2020

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