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:
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.