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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Kienbock S Disease

I have Kienbocks disease. I had my R wrist fused 4 years ago, still have pain up forearm. However, I am currently having investigations on L wrist(dominant hand). Has progressed v quickly, characteristic same symptoms as before. Have been signed off work for month. Have had bone scan, and will have MRI next week. I am struggling with everyday tasks and my work is nigh on impossible. Can it be classed as a disability? Thank you
Mon, 1 Jun 2015
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Orthopaedic Surgeon,  's  Response
Dear Patient,
this probably is keinbocks in the next wrist also, MRI will confirm the stage of the disease, and will further help us to provide you with treatment options, now a days depending on the condition, radial shortening osteotomy,, JESS distraction and Proximal Row carpectomy are good options .
I feel if your work profile does not involve heavy work than movement preserving procedures must be tried first. this is due to the fact that your one wrist is already stiff, moreover the operated wrist needs to be X rayed, and see if the union of fusion aimed has been achieved or not.
I hope that helps
Thanks
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Suggest Treatment For Kienbock S Disease

Dear Patient, this probably is keinbocks in the next wrist also, MRI will confirm the stage of the disease, and will further help us to provide you with treatment options, now a days depending on the condition, radial shortening osteotomy,, JESS distraction and Proximal Row carpectomy are good options . I feel if your work profile does not involve heavy work than movement preserving procedures must be tried first. this is due to the fact that your one wrist is already stiff, moreover the operated wrist needs to be X rayed, and see if the union of fusion aimed has been achieved or not. I hope that helps Thanks