Existing or Worsening Symptoms of Kienböck’s Disease after Distal Radius Fracture: Two Case Reports

Abstract

We report two rare cases of existing or worsening symptoms due to Kienböck’s disease after distal radius fracture (DRF). During examination, radiographs show changes in the lunate bone; there was persistent wrist pain after treatment for DRF. In each case, surgeries were performed: A combined therapy (bone marrow transfusion, bone peg graft, external fixation, and low intensity pulsed ultrasound) for one, as well as carpal coalition for another. The etiology of these case presentations suggest that a compression fracture of the lunate due to a DRF resulted in softening and sclerosis.

Kienböck Disease following a Single Wrist Traumatic Incident: A Scoping Review

“…This is especially concerning for individuals with predisposing factors for Kienböck disease. 3 4 5 6 7 8 9…”

“…The patient developed persistent wrist pain, which was subsequently addressed with intercarpal arthrodesis. 5…”

“…This is especially concerning for individuals with predisposing factors for Kienböck disease. [3][4][5][6][7][8][9] Ogawa and Asakawa described two patients with Kienböck disease whose symptoms deteriorated subsequent to sustaining a fracture of the distal radius. The first patient, diagnosed with Kienböck disease 5 years before, presented with a displaced distal radius fracture.…”

“…The patient developed persistent wrist pain, which was subsequently addressed with intercarpal arthrodesis. 5 Nakanishi et al described a patient who developed stage I Kienböck disease 18 months after sustaining a distal radius fracture. The patient hadnot any prior wrist pain orotherknown predisposing factors.…”