The Journal of the Korean Orthopaedic Association  2018;53(5):453-457

doi:10.4055/jkoa.2018.53.5.453

Advanced Pediatric Kienbock's Disease.

Dong Hee KIM 1 ; Yil Ju EHO ; Min JEONG

Affiliations

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Keywords

lunate; osteonecrosis; Kienbock's disease; adolescent

Country

Republic of Korea

Language

Korean

Abstract

Kienbock's disease is very rare in pediatrics. The treatment of Kienbock's disease is controversial and depends on an understanding of the natural history of the disease. The methods proposed vary from conservative treatment to surgical treatment such as radial shortening or scaphotrapezoidal joint fixation, but there are few therapeutic guidelines for paediatric Kienbock's disease. We encountered a 14-year-old male with Lichtman stage IIIB disease and treated him with conservative management. We report this rare case of advanced paediatric Kienbock's disease with good clinical results at the 2-year follow-up along with a review of the relevant literature.