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Kienböck’s Disease — Late Results by Non-Surgical Treatment

A follow-up study

From Kolding Hospital, Denmark

Two groups of patients with Kienböck’s disease were followed. Twenty-three wrists had been immobilised with plaster and twenty-six had no treatment. At follow up there was a marked improvement in both groups.

Eighty-three percent of the wrists in the new treated group were pain free, or reported pain only on heavy work, and in the nontreated group this was valid for 77%.

Examining X-rays at follow up we did not find a single wrist in which the lunate was normal or less deformed than at the time of diagnosis. In all forty-nine wrists the lunate was deformed and in 67% osteoarthrosis in the radiocarpal joint was evident. It is concluded, that Kienböck’s disease has a naturally benign course, the remaining symptoms at follow-up might be caused by osteoarthrosis and nothing seems to be gained by rigorous immobilisation. If pain persists efficient treatment must be based on surgical methods.

Journal of Hand Surgery (British and European Volume), Vol. 11, No. 3, 422-425 (1986)
DOI: 10.1016/0266-7681(86)90171-3


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