Kienbock Disease

Kienbock Disease is a rare condition where the lunate bone in the wrist loses blood supply, leading to avascular necrosis (bone death).

Causes:

1. Trauma or injury

2. Repetitive stress or overuse

3. Poor blood supply

4. Genetic predisposition

Symptoms:

1. Wrist pain or tenderness

2. Limited mobility or stiffness

3. Swelling or redness

4. Weakness or fatigue

5. Clicking or snapping sensation

Stages:

1. Stage 1: Normal X-ray, but symptoms present

2. Stage 2: Sclerosis (hardening) of the lunate

3. Stage 3: Fragmentation or collapse of the lunate

4. Stage 4: Advanced collapse and degenerative changes

Treatment:

1. Conservative management:

    - Immobilization (casting or bracing)

    - Pain management (medications)

    - Physical therapy

2. Surgical options:

    - Core decompression

    - Bone grafting or replacement

    - Wrist fusion or arthroplasty

Recovery:

- Conservative management: 3-6 months

- Surgical options: 6-12 months or longer

Consult a hand surgeon or orthopedic specialist for proper evaluation and treatment. Early intervention can help alleviate symptoms and prevent further degeneration.