Kienbock’s Disease with Volar Intercalated Segment Instability: A Therapeutic Dilemma

S. Arora, A. Sankaran, A. Dhal
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Abstract

The etiology of avascular necrosis of the lunate (Kienbock disease) remains unclear despite long clinical experience. Very rarely, it may be associated with carpal instability. We describe a case of 45-year-old female who had Kienbock disease with associated volar intercalated segment instability, detailing how the radiographic features can often cause a dilemma in the staging and management of this enigmatic problem.
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Kienbock病伴掌侧插入节段不稳定:一个治疗难题
尽管有长期的临床经验,月骨缺血性坏死(Kienbock病)的病因仍不清楚。极少情况下,它可能与腕关节不稳有关。我们描述了一例45岁的女性,她患有Kienbock病并伴有掌侧插入节段不稳定,详细说明了放射学特征如何经常导致这个谜一般问题的分期和处理的困境。
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