A case report of lunate excision with scapho-capitate arthrodesis in Kienbock’s disease

Abstract

Case study of a 22-year female presented to our clinic with complaints of dorsal wrist pain, swelling and stiffness with decreased motion at left wrist joint with a duration of 2 months without any significant traumatic history. On evaluation dorsal wrist pain and point tenderness over lunate bone was present. Radiographs and Advanced imaging MRI was suggestive of Kienbock’s disease. This was treated with Lunate excision and scapho-capitate arthrodesis along with bone grafting. Advanced stages of Kienbock’s are usually managed by Wrist fusion or proximal row carpectomy. We are reporting our result of scapho-capitate arthrodesis which was performed to stop progression of carpal collapse and carpal-ulnar translation and thereby preserve functional motion and provide pain relief.