Volume : 6, Issue : 11, November - 2017

KEINBOCK�S DISEASE: A CASE REPORT

Dr. Aparna Gupta, Dr. Gurpreet Singh

Abstract :

<p>&nbsp;<b style="text-align: justify;"><span style="font-size:12.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Aim: </span></b><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">To present diagnosis, clinical features and management of Kienbock&rsquo;s disease an create awareness of the differential diagnosis of the condition in patients presenting with insidious, progressive dorsal wrist pain.</span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size:12.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Methodology: </span></b><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">A 23 year old male presented with insidious, progressive dorsal wrist pain with reduced wrist movements. A diagnosis of Keinbock&rsquo;s disease was made based on radiographs and MRI. Carpel fusion surgery was done in Feuary 2017, post surgery patient was given wrist mobilization (volar and dorsal, Ulnar and Radial glides).<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size:12.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results:</span></b><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> Range of motions and manual muscle pasting of wrist showed remarkable improvement in 3 months. Blood supply to the bone improved thereby changing the End feel.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size:12.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion:</span></b><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> This case report demonstrates importanc of radiographic findings, MRI, and clinical examination in accurate diagnosis and management of patients with wrist pain.&nbsp;<o:p></o:p></span></p>