Managing Kienbock Disease's Surgical Treatment and Outcome Analysis: A Case Report and Review of Literature

• Published in: Curēus (Palo Alto, CA) Vol. 16; no. 6; p. e63352
• Main Authors: Jaiswal, Ankit M, Shrivastava, Sandeep, Dhanwani, Yash, Chandanwale, Rohan, Bhakaney, Pallavi R
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 28.06.2024; Cureus
• Subjects: Biomechanics; Case reports; Edema; Illnesses; Magnetic resonance imaging; Orthopedics; Range of motion; recent approaches; lichtman classification; scaphoid-capitate arthrodesis; orthopedic approach; kienbock’s disease
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.63352

A 38-year-old man without a severe traumatic history reported to the outpatient department (OPD) with wrist pain at the dorsal aspect, mild swelling, stiffness, and restricted mobility at the left wrist joint. The patient had been experiencing these symptoms for a year. There was sharp tenderness, graded as 4 above the lunate bone, on examination of the left wrist joint. Advanced imaging, which is magnetic resonance imaging (MRI), and radiographs suggested that the patient had Kienbock's illness. Typically, the surgical approach for Kienbock's used is wrist fusion or proximal row carpectomy. However, in this case, a novel strategy of bone grafting, scaphoid-capitate fusion, and lunate excision was adopted. This case report explains the outcome of our scaphoid-capitate arthrodesis, which was done to maintain functional mobility and relieve discomfort by halting the progression of carpal collapse and carpal-ulnar translation.