Kienbock’s disease

 Kienbock's disease
Kienbock’s disease

 

 

Kienbock’s disease

 

( pressure / compression / crushing type of Osteochondritis of Lunate )

It is usually associated with Negative Ulnar Variance – leads to stretching of Ulnolunate ligament towards Lunate – increased density of Lunate on XRay –¬†fragmentation – collapse – sclerosis

Investigation of choice – MRI

Treatment – Ulnar lengthening / Radial Shortening Procedures with vascularised muscle pedicle grafting of Pronator Quadratus

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