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2014•BMJ Case ReportsOpen access

Kienböck’s disease: insidious unilateral wrist pain

Donald James Davidson, Raymond Anakwe

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Abstract

Kienbock’s disease (KD) is characterised by avascular necrosis of the lunate bone and is of unknown aetiology. KD is thought to result from a combination of vascular, anatomic and traumatic insults resulting in interruption of the blood supply to the lunate and osteonecrosis.1 A 58-year-old retired engineer presented with a 20-year history of right wrist pain, swelling and decreased function. Examination revealed tenderness over the dorsal lunate, decreased wrist flexion-extension arc and decreased grip …

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Kienbock’s disease (KD) is characterised by avascular necrosis of the lunate bone and is of unknown aetiology. KD is thought to result from a combination of vascular, anatomic and traumatic insults resulting in interruption of the blood supply to the lunate and osteonecrosis.1 A 58-year-old retired engineer presented with a 20-year history of right wrist pain, swelling and decreased function. Examination revealed tenderness over the dorsal lunate, decreased wrist flexion-extension arc and decreased grip …

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Available abstract

Kienbock’s disease (KD) is characterised by avascular necrosis of the lunate bone and is of unknown aetiology. KD is thought to result from a combination of vascular, anatomic and traumatic insults resulting in interruption of the blood supply to the lunate and osteonecrosis.1 A 58-year-old retired engineer presented with a 20-year history of right wrist pain, swelling and decreased function. Examination revealed tenderness over the dorsal lunate, decreased wrist flexion-extension arc and decreased grip …

Key concepts: Medicine, Kienböck's disease, Lunate, Wrist, Avascular necrosis, Lunate bone, Wrist pain, Surgery

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