Kienböck's disease is a rare, debilitating condition that can lead to chronic pain and dysfunction. It happens when one of the eight small carpal bones in the wrist - the lunate bone, more specifically - becomes damaged because there is no blood supply.

It is also known as avascular necrosis of the lunate, or osteonecrosis of the lunate.

Symptoms

You may wonder if you suffer from Kienböck's Disease if you experience the following:

If you think the above symptoms apply to you, make an appointment with your surgeon to get an accurate diagnosis. There are other wrist conditions which may present the same range of symptoms, as well.

Treatments

 

There are four stages of progression of Kienböck's disease. The treatment differs, depending on the stage of the condition at the time of commencing it.

Some patients may undergo several different procedures during their lifetime.

Untreated, a person with Kienböck's disease will see a progressive deterioration of the wrist, loss of wrist function and increasing pain. That’s why it’s very important to see a doctor as soon as possible, after experiencing the first unsettling symptoms described above.

Stage I

Kienböck's disease may be difficult to diagnose accurately in the early stages. This is because the signs and symptoms resemble those of many other conditions, such as wrist sprains, or even arthritis. 

At this stage there are no visible changes on an x-ray, they can be seen only on MRI imaging. The common treatment is immobilization and non-steroid anti-inflammatories (NSAIDS).

In the later stages, an x-ray will reveal the damage, and a CT scan may be able to determine the number and size of the bone fragments.

Stage II

As the disease progresses, the next symptom will be sclerosis of the lunate bone. At this stage, the treatment will be decided by an experienced surgeon, and may include:

Stage IIIA

At this next stage, a lunate collapse and no scaphoid rotation may be new symptoms that appear. The possible treatments are the same as at stage II.

Stage IIIB

Instead of stage IIIA, you may experience stage IIIB, depending on the scaphoid rotation symptom. At stage IIIB, your symptoms include a lunate collapse with fixed scaphoid rotation. Because of this difference, the treatment proposed could differ too, and be decided by an experienced surgeon between: 

Stage IV

This is the most advanced stage of Kienböck's disease. The adjacent intercarpal joints become degenerated, and the treatment options are complicated, as well. Your orthopedic surgeon will probably suggest one of the following, as the best option to ensure your recovery:

Orthopedics in Boca Raton - Orthopaedic Surgery Associates

 

Orthopaedic Surgery Associates, Inc. is one of the nation’s most advanced groups for the diagnosis and treatment of hand, knee, hip, spinal, foot and other orthopedic disorders and injuries, as well as in the field of sports medicine in Boca Raton.

Need more information about orthopedics in Boca Raton? Ask Orthopaedic Surgery Associates in Palm Beach County - Palm Beach County’s leading Multi-Specialty Orthopaedic Group. 

Whether it’s assistance concerning Orthopedics in Boca Raton, or a consultation about sports medicine in Boca Raton, our doctors provide total management of patient care in Palm Beach County. If you’d like to find out more about us, our doctors, and our facilities, or you want to make an appointment, contact us. We will help you stay healthy and happy! 

 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Tennis, while a fun and great sport to play, can lead to body pain and injuries due to the impact and repetition of movements. A tennis player's dominant arm is especially prone to developing tennis elbow, which is also known as lateral epicondylitis. 

Tennis elbow occurs when there's a feeling of soreness, or tenderness around the joints that curve and connect the arms. The tendons become inflamed due to overuse. Golfers also suffer from lateral epicondylitis, so do laborers who do repetitive motions of swinging their arms.

At least 10-50% of players incur a tennis elbow injury. The condition is more prevalent in men than women and while it can strike at any age, it’s more common among tennis players between 30 to 50 years old. 

Signs and Symptoms of Tennis Elbow

If you are suffering from the following symptoms linked to tennis elbow, consult orthopedics in Palm Beach County to get a thorough medical assessment:

Your doctor might apply pressure on your elbows, arms, wrist and fingers to determine the extent of the injury. Further tests, such as an X-ray, or an MRI scan will reveal if there's a fracture, or nerve compression.

Preventing Tennis Elbow

An improper backhand technique, or the wrong body position, coupled with strokes that aren't properly coordinated, can lead to the injury. Switching and correcting poor techniques and positioning should minimize the impact, or stress the muscles and tendons absorb. 

Using the wrong size of equipment could also contribute to tennis elbow. Make sure that your tennis racquet is the right size for your grip.

Aside from techniques and equipment, our doctors in orthopedics at Palm Beach County recommend the following preventive measures:

Treating Tennis Elbow

The condition can be alleviated via nonsurgical means. Your doctor might advise you to refrain from playing for a few days until the symptoms clear. You can also do the following to help with the pain:

Depending on the extent of the injury, however, you might need to do physical therapy after an injury to regain your arm's strength and flexibility. In serious cases of tennis elbow injury, surgery might be needed.

Disregarding treatment for tennis elbow might lead to chronic elbow pain that can be severe, or disabling in old age. 

About orthopedics Palm Beach County

Orthopedics in Palm Beach County does not only include diagnosis and surgical treatments, as the name of the profession might suggest. We specialize in helping people return to their normal function, We see our responsibilities as going beyond long hours in the operating room. We educate patients and provide a full range of information to prevent further orthopedic issues and continuously support them during their recovery period.

If you are suffering from tennis elbow, request an appointment now or contact us for more information.

 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

CONTACT US

We’d love to hear from you.

Whether it’s post-injury help or consultation about your first symptoms, our orthopedic doctors provide total management of patient care. Contact us find out more about OSA, our doctors, and our facilities, or to get started as a patient.

Contact Us
menu chevron-down linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram