Citation

Laframboise MA, Gringmuth R, Greenwood C. JCCA J. Can. Chiropr. Assoc. 2012; 56(4): 275-282.

Affiliation

Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada ; Division of Graduate Studies, Sports Sciences, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada.

Copyright

(Copyright © 2012, Canadian Chiropractic Association)

DOI

unavailable

PMID

23204571

PMCID

PMC3501914

Abstract

OBJECTIVE: To present the diagnostic, clinical features, and management of Kienbock's disease and create awareness of the differential diagnosis of this condition in patients presenting with insidious, progressive dorsal wrist pain. CLINICAL FEATURES: A 23-year old male varsity football player presented with insidious progressive dorsal sided wrist pain with reduced wrist flexion and extension. A diagnosis of Kienbock's disease was made based on radiographs and magnetic resonance imaging. INTERVENTION AND OUTCOME: A 3mm ulnar-minus variance was found and a joint leveling procedure to shorten the radius was performed. Conservative therapy was provided pre and post surgical management. SUMMARY: This case report demonstrates the importance of findings on radiographs, MRI, and clinical examination in the accurate diagnosis and management of a patient with wrist pain.

Keywords: Soccer; Canadian football

Language: en