कलाई में दर्द क्या ये कोई घातक बीमारी के लक्षण तो नहीं जानिए क्या हैं और इलाज | Kienbock disease

Kienbock's Disease is avascular necrosis of the lunate. The lunate is one of many carpal bones of the hand and wrist. Avascular necrosis of the lunate bone usually occurs in males 20-40 years of age. Usually the patient will have a negative ulnar variance, meaning the ulna is shorter, which increases the radiolunate contact stress.
What is negative ulnar variance? Normally the distribution of forces across the wrist is 80/20. Ulnar variance is load passing through the wrist. Positive ulnar variance: ulna 2.5 mm longer. Negative ulnar variance ulnar is 2.5 mm shorter.
How do you measure ulnar variance? Measure from the radial articular surface and the height of the ulnar head. Negative variance increases the shear forces on the lunate.
Lunate vascularity variances: X,Y and I pattern, with I pattern having the highest rick of avascular necrosis.
Kienbock's Disease may be caused be repetitive trauma. The blood supply of the lunate bone may become interrupted. Initially the condition feels like a wrist sprain, however if it is not recognized and detected early the condition will progress to collapse of the lunate and arthritis of the wrist.
Classification and concept of treatment
Stage I: X-rays normal, but changes are seen on MRI. Treatment is splint, NSAID medication, surgery is rare.
Stage II: sclerosis of the lunate- the bone maintains shape. Treatment is one of three ways: 1- joint leveling procedure: in negative ulnar variance- radial shortening osteotomy. In positive or neutral ulnar variance- capitate shortening. 2- distal radius core decompression incites a local vascularization healing in the lunate. 3- revascularization procedure.
Stage IIIa: the lunate begins to collapse with no scaphoid rotation-treat as stage II.
Stage IIIa: the lunate has collapsed with fixed scaphoid rotation. Treatment is proximal row carpectomy (PRC) or STT fusion.
Stage IV: degenerated adjacent intercarpal joints. Treatment is total wrist arthrodesis, total wrist arthroplasty, proximal row carpectomy (PRC).
Presentation:
•Activity related
•Insidious onset
•More in dominant hand
•Decreased rom and stiffness
•Decreased grip strength.
An easy way to recognize Kienbock's Disease is to look at the x-ray of the wrist. If the ulna is short, then check the lunate color. Whitish in color = Kienbock's Disease. The lunate is white and the ulna is short (negative ulnar variance), you usually need to shorten the radius, decompress the radius, or revascularize the lunate.
Get an MRI for early detection when there is negative ulnar variance and negative x-ray with wrist pain. CT scan is useful when collapse of the lunate occurs (CT scan shows the lunate necrosis and destruction of the trabeculae).
wrist pain treatment
wrist pain relief
wrist pain relief exercises
wrist pain relief exercises in hindi
wrist pain in hindi
wrist pain treatment in hindi
wrist pain after workout
wrist pain and swelling
wrist pain and swelling home remedy
Wrist Fracture
scaphoid fracture
scaphoid waist fracture
scaphoid fracture hindi
scaphoid fracture treatment
scaphoid fracture cast
scaphoid fracture cast removal
scaphoid fracture x ray view
wrist fracture
#handinjuries #hand #iloveplasticsurgery #drnitinghag #livethelifeyoudesire #craftsmanplasticsurgerycentre #maladwest #machine #machineinjury #cutterinjury #limbsalvage #wristpain
#injuryinmachine
#HandSurgery
#vascularsurgery
#handreplantation
#ReconstructivePlasticSurgery
#MicrovascularSurgery
#HandReconstruction
#HandTrauma
#HandSurgeryClinic
#dramitmittal
#mittalhand
#handsurgeon
#handreplant
#ReconstructiveHandSurgery
#handsurgeon
#handsurgery
#hathkailaaj
#orthopedic
#jaipur
#besthandsurgeon
#bestorthopedicsurgeon
Dr. Amit Mittal
MBBS, DNB (Orthopedics), FNB (Hand and Microsurgery)
Address:
121, 122 SR Complex, Tagore Nagar,
Ajmer Main Road, 200 Feet Bypass,
Jaipur, Rajasthan
Contact: [phone]

[@PAWANKUMAR-pw8wz]

Pranam sir ji🙏🙏

[@spiytechi4434]

Sir aap pair ke ungli jod dete hain

[@dr.amitmittalhandsurgeon6584]

Ji koshish kar sakte hain

[@FarazKhan-oq9lc]

Sir meri kali ka frakchr howa tha 45 din palstr howa tha ab plastr utry 30 din ho gai hy abhi bhi drd hota hy to us mein hadi jori hogi ya nhi plz rply dena

[@dr.amitmittalhandsurgeon6584]

Send me your report

[@user-zv5zm9jg8s]

जी सर मेरे कमेंट का जवाब आप जरूर दीजिएगा मैं बिहार से हूं । मेरा राइट फुट आज से लगभग 8 साल पहले ट्रेन एक्सीडेंट में डैमेज हो गया था जिसके कारण तीन उंगली अलग हो गई है उसके बाद मैं मेरा ट्रीटमेंट हुआ था लेकिन ऑपरेशन से मैं सर्टिफाइड नहीं हूं मेरे पैर का अंगूठा जो है कि नीचे की ओर मुड़ गया है क्या आप फुट का भी ऑपरेशन करते हैं जवाब जरूर दीजिएगा सर

[@dr.amitmittalhandsurgeon6584]

Ji karte hain

[@user-zv5zm9jg8s]

Ji sir kya hame koi contact number mil sakta hai

[@pradeepkumar-em2wm]

sir surgery charge kitna h please mere hath m problem

[@dr.amitmittalhandsurgeon6584]

Kis chiz ki surgery ki bat kar rahe ho aap?

[@pradeepkumar-em2wm]

@@dr.amitmittalhandsurgeon6584 carpal tunnel syndrome sir

[@user-pe9xd6lu2r]

Namaste sir ji m bahut pareshani se lad rahi hu meri kalai k durd ko char saal hone wale h or ak baar surgery ho chuki h lekin koi aaram nahi h abto or jyada durd hone lga h please sir mujhe thik kardo mere chhote chhote bachhe h😢😢

[@dr.amitmittalhandsurgeon6584]

Ji hum ese muskil samay me aapki jarur madad karege ek bar aap jaipur aa kar hume dikha dijiye

[@user-pe9xd6lu2r]

Sir m thik to ho jaungi n

[@SadikAnsari-vx2qh]

Sir meri ungliya kat gai thi ab me unse kuch utha nahi pa rha hu kiya kre

[@dr.amitmittalhandsurgeon6584]

Iska operation karwana padega aapko