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CASE REPORT
Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 171-174

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


1 Department of Orthopaedic Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India
2 Department of Hand & Reconstructive Microsurgery, KIMS Al Shifa Hospital, Perinthalmanna, Kerala, India
3 Department of Orthopaedics, ESIC Medical College & Hospital, Faridabad, Haryana, India

Correspondence Address:
Dr. Sumit Arora
Department of Orthopaedic Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital, C/o Mr Raj Kumar Arora, B-253, Second floor, Derawal Nagar, Delhi 110009
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mamcjms.mamcjms_118_20

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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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