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 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

By Dr. Tushar Mehta

MBBS , DNB (Ortho), MNAMS, PGDCR, http://www.facebook.com/orthopaedicsplus.in

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