Abstract
Kienbock's disease is
the osteonecrosis of lunate bone. Patients usually present with unilateral
localized dorsal wrist swelling and pain that increase with movement. Direct radiographic
and other imaging methods are used for diagnosis. Cautious evaluation of the
radiological findings is substantial, because the management of the disease
depends on radiological stage. Here, we present a 46-year-old woman with rheumatoid
arthritis who admitted to the outpatient clinic
of our hospital, because of pain, swelling and limitation of movement in the
left wrist. We want to draw attention Kienbock's disease in patient with rheumatoid arthritis.
Keywords
References
- Reference1. Fontaine C .Kienböck's disease. Chir Main 2015;34:4-17
- Reference2. Rizzo M, Urbaniak JR. Osteonecrosis In: Harris ED, Budd RC, Firestein GS, Genovese MC, Sergent JS, Ruddy S, Sledge CB Editors. Kelley’s Textbook of Rheumatology Volume II. Seventh Ed. Philadelphia: Elsevier Saunders 2005;1812-28.
- Reference3. Breitenseher JM, Gaebler C. Trauma of the wrist. European J Radiol 1997;25:129-39
- Reference4. Desy NM, Bernstein M, Harvey EJ, Hazel E. Kienböck’s disease and juvenile idiopathic arthritis. Mcgill J Med 2011;12:8–13
- Reference5. Beredjiklian PK. Kienböck’s disease. J Hand Surg Am 2009;34:167–75
- Reference6. Mok CC, Wong RW, Lau CS. Kienbock's disease in rheumatoid arthritis. Br J Rheumatol 1998;37:796-7
- Reference7. Weinstein RS Glucocorticoid-induced osteonecrosis. Endocrine 2012;41:183-90
- Reference8. Edmunds I, Harvey FJ. Bilateral Kienböck’s disease in a patient on haemodialysis. Aust N Z J Surg 1998;68:304
- Reference9. Yamada S, Eriguchi R, Toyonaga J, Taniguchi M, Fujimi S, Tsuruya K. Kienböck’s disease: Unusual cause of acute onset wrist pain in a dialysis patient. Intern Med 2011;50:467–9
- Reference10. Kang GW, Lee DY, Lee YH, Ahn KS, Kim SK, Lee IH. Kienböck's disease associated with radiocephalic fistula formation in a patient with end-stage renal disease. Hemodial Int 2013;17:648-51
- Reference11. Irisarri C. Aetiology of Kienböck’s disease. J Hand Surg Br 2004;29:281–7
Abstract
Kienbock hastalığı lunat kemiğin osteonekrozudur. Hastalar
genellikle hareket ile artan ağrı ve unilateral el bilek ekleminin dorsal
yüzünde lokalize ödem ile kliniğe başvururlar. Tanı amaçlı direkt radyografiler
ve diğer görüntüleme metotları kullanılır. Hastalığın tedavi ve takibinde radyolojik
evreleme önemli olduğu için, radyografik bulguların dikkatli bir şekilde
değerlendirilmesi oldukça temeldir. Bu yazıda, el bileği ekleminde hareket
kısıtlanması, ağrı ve ödem şikayetleriyle ile polikliniğe başvuran Romatoid Artrit
tanılı 46 yaşında bir olgu sunulmuştur. Yazımızda
Romatoid Artritli hastalarda Kienböck hastalığına dikkat çekmek istedik.
Keywords
References
- Reference1. Fontaine C .Kienböck's disease. Chir Main 2015;34:4-17
- Reference2. Rizzo M, Urbaniak JR. Osteonecrosis In: Harris ED, Budd RC, Firestein GS, Genovese MC, Sergent JS, Ruddy S, Sledge CB Editors. Kelley’s Textbook of Rheumatology Volume II. Seventh Ed. Philadelphia: Elsevier Saunders 2005;1812-28.
- Reference3. Breitenseher JM, Gaebler C. Trauma of the wrist. European J Radiol 1997;25:129-39
- Reference4. Desy NM, Bernstein M, Harvey EJ, Hazel E. Kienböck’s disease and juvenile idiopathic arthritis. Mcgill J Med 2011;12:8–13
- Reference5. Beredjiklian PK. Kienböck’s disease. J Hand Surg Am 2009;34:167–75
- Reference6. Mok CC, Wong RW, Lau CS. Kienbock's disease in rheumatoid arthritis. Br J Rheumatol 1998;37:796-7
- Reference7. Weinstein RS Glucocorticoid-induced osteonecrosis. Endocrine 2012;41:183-90
- Reference8. Edmunds I, Harvey FJ. Bilateral Kienböck’s disease in a patient on haemodialysis. Aust N Z J Surg 1998;68:304
- Reference9. Yamada S, Eriguchi R, Toyonaga J, Taniguchi M, Fujimi S, Tsuruya K. Kienböck’s disease: Unusual cause of acute onset wrist pain in a dialysis patient. Intern Med 2011;50:467–9
- Reference10. Kang GW, Lee DY, Lee YH, Ahn KS, Kim SK, Lee IH. Kienböck's disease associated with radiocephalic fistula formation in a patient with end-stage renal disease. Hemodial Int 2013;17:648-51
- Reference11. Irisarri C. Aetiology of Kienböck’s disease. J Hand Surg Br 2004;29:281–7
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 30, 2019 |
| Submission Date | February 12, 2019 |
| Acceptance Date | August 16, 2019 |
| Published in Issue | Year 2019 Volume: 12 Issue: 3 |
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