What are the signs and symptoms of Kienböck disease?

Updated: Apr 26, 2021
  • Author: David M Lichtman, MD; Chief Editor: Harris Gellman, MD  more...
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The typical patient with Kienböck disease is aged 20-35 years and has chronic wrist pain, often without a history of acute trauma. Clinically, tenderness is present over the dorsum of the lunate, with occasional associated swelling. Often, range of motion and grip strength are decreased compared with the contralateral hand. Early in the disease, the examination findings may be somewhat benign, more consistent with a wrist sprain. However, as the disease continues, synovitis progresses, and in the late stages, arthritis is the predominant clinical finding.

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