{"id":6111,"date":"2022-08-16T08:45:37","date_gmt":"2022-08-16T06:45:37","guid":{"rendered":"https:\/\/elgeaditraumatologia.com\/?p=6111"},"modified":"2026-04-23T14:33:45","modified_gmt":"2026-04-23T12:33:45","slug":"kienbocks-disease","status":"publish","type":"post","link":"https:\/\/elgeaditraumatologia.com\/en\/enfermedad-de-kienbock\/","title":{"rendered":"What it is, causes, symptoms, diagnosis and treatment of Kienb\u00f6ck Disease"},"content":{"rendered":"<p><em>Kienb\u00f6ck&#039;s disease is a rare idiopathic pathology that affects the blood supply to the lunate bone, causing avascular necrosis and, consequently, abnormal mobility of the carpal bones. In this post we talk about Kienb\u00f6ck disease, its symptoms, causes, diagnosis and treatment. Stay reading!<\/em><\/p>\n<h2>What is Ki\u00ebnbock disease?<\/h2>\n<p>Ki\u00ebnbock disease, also known <strong>such as avascular necrosis of the lunate or lunatomalacia of the lunate<\/strong> It is a rare disease, of still unknown cause, so that it causes isolated cell death of the semilunar bone of the carpus, which is located between the scaphoid and the pyramidal bone, due to the lack of blood supply, thus causing certain morphological alterations of the bone.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-6112 aligncenter\" src=\"https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Que-es-la-enfermedad-de-Kienbock.jpg\" alt=\"What is Kienbock&#039;s disease?\" width=\"900\" height=\"600\" srcset=\"https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Que-es-la-enfermedad-de-Kienbock.jpg 900w, https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Que-es-la-enfermedad-de-Kienbock-768x512.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/p>\n<p>Lunatomalacia of the lunate is more common in the dominant hand in men between 20 and 45 years old, generally in those who work with heavy loads on a daily basis.<\/p>\n<p>Kienb\u00f6ck&#039;s disease is bilateral in 10% of cases and was described by the Viennese radiologist Robert Ki\u00ebnbock in 1910.<\/p>\n<h3>Symptoms of lunatemalacia of the lunate<\/h3>\n<p>In lunatomalacia of the lunate it is very common to find patients who begin with <strong>pain that gradually appears in the wrist<\/strong>, a decrease in its function, as well as a decrease in the pressure force of the wrist to a variable degree.<\/p>\n<p>Another of the main reasons for visiting the specialist is inflammation of the back of the wrist, which generally worsens when performing certain physical activities that involve this bone.<\/p>\n<h3>Causes of Ki\u00ebnbock disease<\/h3>\n<p>The cause of Ki\u00ebnbock&#039;s disease is unknown, but there are several factors that influence its appearance, including the following:<\/p>\n<p><img decoding=\"async\" class=\"size-full wp-image-6115 aligncenter\" src=\"https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Diagnostico-y-tratamiento-de-la-enfermedad-de-Kienbock.jpg\" alt=\"Diagnosis and treatment of Ki\u00ebnbock disease\" width=\"900\" height=\"600\" srcset=\"https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Diagnostico-y-tratamiento-de-la-enfermedad-de-Kienbock.jpg 900w, https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Diagnostico-y-tratamiento-de-la-enfermedad-de-Kienbock-768x512.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/p>\n<ul>\n<li>Work and occupation factor, depending on the position you hold and the wrist movements you make, as well as the weight it has to support.<\/li>\n<li>Genetic factors.<\/li>\n<li>Vascular factors, due to a precarious blood supply to the lunate bone.<\/li>\n<li>Biomechanical factors such as <strong>negative ulnar variance<\/strong> (when the ulna is shorter than the radius) and the decrease in the normal radial inclination.<\/li>\n<li>Repetitive trauma to the wrist bone. In more than 80% of cases, cases have been observed in which there is a history of trauma.<\/li>\n<\/ul>\n<h2>Diagnosis and treatment of Ki\u00ebnbock disease<\/h2>\n<p>In any case, <strong>It is recommended to go to a wrist specialist<\/strong> so that, through a complete study of the area, you can determine what pathology it is and bring the symptoms closer to the best treatment available in the field of medicine.<\/p>\n<p>Thanks to the <strong>newest techniques in wrist surgery<\/strong>, patients have multiple options that are effective both for their recovery and the surgical and pre-operative procedure.<\/p>\n<h3>Diagnosis of avascular necrosis of the lunate bone<\/h3>\n<p>First of all, the diagnosis is based on a clinical study of the patient&#039;s symptoms. With complementary tests such as radiography, magnetic resonance imaging (MRI) or computed tomography (CT), this disease can be confirmed.<\/p>\n<p><img decoding=\"async\" class=\"size-full wp-image-6114 aligncenter\" src=\"https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Causas-de-la-enfermedad-de-Kienbock.jpg\" alt=\"Causes of Ki\u00ebnbock disease\" width=\"900\" height=\"600\" srcset=\"https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Causas-de-la-enfermedad-de-Kienbock.jpg 900w, https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Causas-de-la-enfermedad-de-Kienbock-768x512.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/p>\n<p>An accurate diagnosis, based on the experience of professionals and supported by medical tests, will be the basis for an efficient recovery of the patient.<\/p>\n<h3>How to treat wrist pain due to Ki\u00ebnbock disease<\/h3>\n<p><strong>The treatment of <\/strong><a href=\"https:\/\/www.msdmanuals.com\/es-es\/professional\/trastornos-de-los-tejidos-musculoesquel%C3%A9tico-y-conectivo\/enfermedades-de-la-mano\/enfermedad-de-kienb%C3%B6ck\" target=\"_blank\" rel=\"noopener\"><strong>Kienbock disease<\/strong><\/a><strong> It will depend, first of all, on the severity and state of the pathology.<\/strong>. In the first instance, wrist immobilization treatment is recommended. Studies have shown that treating this disease with non-surgical methods have not been successful, having a wrist splint can relieve pain in very mild cases and can be very beneficial for patients. The administration of anti-inflammatory drugs combined with analgesics can help alleviate the patient&#039;s pain.<\/p>\n<p>Thus, in the most advanced cases, surgery will be chosen. It will be the specialist who determines the most appropriate treatment for each patient, explaining the risks and benefits of each of the options.<\/p>\n<p>At Elgeadi Traumatology we have more than 10 years of experience in performing hand and wrist arthroscopy, a very new technique in the medical field. Through a small incision in the patient&#039;s skin, the expert introduces an arthroscopic camera that allows visualization of the structures found around the wrist.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-6113 aligncenter\" src=\"https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Sintomas-de-la-lunatomalacia-del-semilunar.jpg\" alt=\"Symptoms of lunatemalacia of the lunate\" width=\"900\" height=\"600\" srcset=\"https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Sintomas-de-la-lunatomalacia-del-semilunar.jpg 900w, https:\/\/elgeaditraumatologia.com\/wp-content\/uploads\/2022\/08\/Sintomas-de-la-lunatomalacia-del-semilunar-768x512.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/p>\n<p><em>Do you suffer from a traumatic wrist injury? Come meet our <\/em><a href=\"https:\/\/elgeaditraumatologia.com\/en\/private-appointment\/\"><strong><em>team of traumatologists experts in advanced wrist surgery in Madrid<\/em><\/strong><\/a><em>, we will study your case and determine the most appropriate treatment to address your particular situation. If you still don&#039;t know us, you can also go directly without an appointment 365 days a year to our emergency service at the Quironsalud San Jos\u00e9 Hospital, where we will be looking forward to helping you with whatever you need and putting an end to your pain. We advise you on the treatment that your pathology needs and offer the most specialized service in each of the different areas of traumatology.<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Kienb\u00f6ck&#039;s disease is a rare idiopathic pathology that affects the blood supply to the lunate bone.<\/p>","protected":false},"author":1,"featured_media":6115,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"unidad_blog":[117],"contenido_blog":[129],"class_list":["post-6111","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-traumatologia","unidad_blog-mano-y-muneca","contenido_blog-patologias"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Expertos en cirug\u00eda de mano y mu\u00f1eca: Enfermedad de Kienb\u00f6ck<\/title>\n<meta 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