Dr. Steven Rueda is one of the most sought after doctors for Kienbock’s Disease in Palm Beach. This condition, also known as avascular necrosis of the lunate, leads to gradual degenerative changes in the wrist. Arthritis eventually develops leading to pain and difficulty using the wrist with daily activities.
WHAT CAUSES KIENBOCK'S DISEASE?
There is no established cause for Kienbocks disease, however there may be many factors that can possibly contribute. The lunate is one of the wrist bones in contact with the forearm that allows the wrist to bend. In Kienbock’s, the blood supply to this bone is interrupted. It is thought the shape of the wrist bones can be a contributing factor. A short ulna and abnormal lunate shapes have been shown to be more prevalent in those with Kienbock’s. Trauma, medications, and inflammatory diseases have also been associated.
KIENBOCK'S DISEASE PROCEDURE
Incisions for Kienbock’s procedures are highly variable; its best to discuss the independent procedure with Dr. Rueda at the time of your visit so you know the location, length, and details of the operation. In some cases the disease may be treated using stainless steel K-wires placed through the skin with no need to make incisions. In some other cases it may require more complex surgeries including bone shortening or wrist salvage procedures. Those who require wrist salvage procedures require an incision that is usually located in the area shown below:
Frequently Asked Questions (FAQ)
Patients with classic history, symptoms, and exam who have failed casting or who have advanced disease stages are good candidates for surgical procedures.
Results of treatment for this condition vary considerably depending on patient factors, stage of intervention, and type of treatment chosen. The risks and benefits are weighted by the patient and Dr. Rueda to come up with the best option for treatment.