Kienbock’s disease is a condition in which one of the small bones that make up the wrist, known as the lunar bone, does not receive the necessary amount of blood and therefore begins to deteriorate, causing constant pains in the wrist and difficulty moving or closing.hand, for example.
This alteration can occur at any age, however, it is more common between the ages of 20 and 40 and rarely affects both fists at the same time.
- Although there is no definitive cure for Kienbock’s disease.
- Some forms of treatment such as surgery or medication use can be used to relieve pressure on the bones and relieve symptoms.
Treatment for Kienbock’s disease is done only to relieve pain and difficulty moving the wrist, as increased circulation to the bone is very difficult to achieve.To do this, there are several forms of treatment that must be evaluated by an orthopedist depending on the degree of development of the disease and the intensity of the symptoms.
Some of the most commonly used forms of treatment include
Many cases of Kienbock disease can only improve with wrist immobilization, as this way the bone is less overloaded, which allows to decrease inflammation and pressure at the site.
To immobilize your wrist, your doctor usually applies plaster to your hand, which should be kept for at least 2 to 3 weeks.
The use of anti-inflammatory medications, such as aspirin or ibuprofen, is one of the first ways to treat this problem and generally works by relieving swelling of the tissues around the lunate bone, reducing pressure, and relieving pain.
Performing wrist stretching exercises can help relieve muscle pressure on bones, relieve pain and allow for greater freedom of movement.
These exercises can usually be performed during physiotherapy sessions, but they can also be trained at home by following the advice of a physical therapist.See some wrist stretches that can help relieve pain.
Surgical treatment is generally reserved for more advanced cases of Kienbock’s disease, when symptoms do not improve with the treatment methods shown above.
The type of surgery varies by person and specific problem, including
In addition, surgery can also be used at an early stage of the disease to try to direct blood flow to the semi-white bone. In this technique, your doctor removes a piece of another bone that receives blood and attaches it to the semi-white bone.lunar bone, also allowing its irrigation with blood; however, this technique is not possible in all cases and may not produce satisfactory postoperative results.
The pain caused by Kienbock’s disease is often mistaken for carpal tunnel syndrome and it is therefore advisable to consult an orthopedic surgeon to confirm the diagnosis and initiate appropriate treatment.
To make the diagnosis, your doctor may order diagnostic tests such as wrist x-rays and MRI.These tests also make it easier to assess the degree of change in the problem:
As the disease progresses, wrist pain becomes more severe and movement becomes more difficult, so knowing at what stage allows your doctor to choose the most appropriate treatment option.