Kienbocks disease

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Patient Information

GP Information

Background Information

  • A progressive degenerative disorder of the wrist characterised by loss of blood supply to the lunate which may occur spontaneously over time or following pathology including previous fracture.

Investigation Guidelines

  • Investigations are not required prior to referral but are typically the basis of the initial diagnosis.

Management Recommendations

  • Early referral is recommended for XR’s suggestive of Kienbocks diease as early treatment can alter the natural history of the disease.
  • Referral indications: Diagnostic uncertainty, investigations suggestive of Kienbocks disease.