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How is Kienbock Disease diagnosed?

See how Kienbock Disease is diagnosed. Which specialists are essential to meet, what tests are needed and other useful information for the diagnosis of Kienbock Disease

Kienbock Disease diagnosis

Diagnosis of Kienbock Disease


Kienbock Disease, also known as avascular necrosis of the lunate, is a condition that affects the wrist joint. It occurs when the blood supply to the lunate bone in the wrist is disrupted, leading to its gradual deterioration. Early diagnosis of Kienbock Disease is crucial to prevent further damage and preserve hand function.


Medical History: The first step in diagnosing Kienbock Disease involves a detailed medical history assessment. The doctor will inquire about the patient's symptoms, duration, and any previous injuries or trauma to the wrist. Understanding the patient's medical background helps in ruling out other potential causes of wrist pain.


Physical Examination: A thorough physical examination of the wrist is conducted to evaluate the range of motion, tenderness, swelling, and any visible deformities. The doctor may also perform specific tests to assess grip strength and stability of the wrist joint.


Imaging Studies: Imaging techniques play a crucial role in confirming the diagnosis of Kienbock Disease. The following imaging studies are commonly used:



  • X-rays: X-rays provide a detailed view of the bones in the wrist. In Kienbock Disease, X-rays may reveal changes in the shape and density of the lunate bone, such as sclerosis (hardening) or collapse.

  • Magnetic Resonance Imaging (MRI): An MRI scan uses powerful magnets and radio waves to create detailed images of the wrist joint. It helps visualize the blood flow to the lunate bone and detect any signs of avascular necrosis.

  • Computed Tomography (CT) Scan: A CT scan provides cross-sectional images of the wrist, allowing for a more detailed assessment of the bone structure. It can help determine the stage of Kienbock Disease and identify any associated fractures or abnormalities.


Bone Scan: In some cases, a bone scan may be recommended to assess the blood flow and metabolic activity in the wrist bones. This test involves injecting a small amount of radioactive material into the bloodstream, which is then detected by a special camera.


Arthroscopy: In certain situations, arthroscopy may be performed to directly visualize the inside of the wrist joint. This minimally invasive procedure involves inserting a small camera through a small incision to examine the bones, cartilage, and ligaments.


It is important to consult a qualified healthcare professional for an accurate diagnosis of Kienbock Disease. Early detection allows for timely intervention and appropriate management strategies to alleviate symptoms and prevent further progression of the condition.


Diseasemaps
6 answers
By a mri

Posted Mar 6, 2017 by Mina 630
I was diagnosed with an X-ray and confirmed further with an MRI.

Posted Mar 7, 2017 by Charity 1050
Kienbocks disease is often mistaken for a sprain or even carpal tunnel. Its takes an MRI to actually be able to see the lunate bone of the wrist. This happened in my case. I went to the hospital and they couldn't tell me if it was a sprain or not so I went an seen a orthopedic surgeon who gave me the MRI and saw that the lunate bone was dieing and collapsing and diagnosed me. With that being said an orthopedic surgeon is the way to go to get the right diagnosis.

Posted Jul 7, 2017 by Jessica 1500
Early stage through mri, but moderate to advanced stages in xrays and mri

Posted Aug 21, 2017 by Michelle 2150
Usually through an x-ray or MIR.

Posted Sep 29, 2017 by Ani 1300

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Hello, during the spring of 2013, while expecting my first child, I began to get extreme wrist pain, swelling, and loss of rotation inmy right wrist. I spoketo my obgyn, who assured me it was carpal tunnel. Being naive I took his word for it. He told...
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For me kienbocks has been a journey of being careful. Since I learned my lunate bone was dying I’ve had two surgeries (one on each wrist) and made and effort to not let it change my life. There are so many things that I have a hard time doing like ...
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So much to say. Numerous surgeries. Failed Revascularisation. Bilateral Denervation. Osteotomy that snapped. Failed Bilateral Ulna Shortening. Second attempt Bilateral Ulna Shortening using bone graft from both hips success. to be continued

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