Doctor insights on:
Kienbock Disease Is It A Disability
Navicular necrosis: Kienbocks disease is a cystic degeneration of the navicular bone in the wrist due to abnormal forces applied to the bone, usually by the radius. Typical treatment involves radial shortening, revascularization of the navicular, bone grafting or partial wrist fusion. Immobilization by itself would not be effective in almost all cases. ...Read more
Not Sure: Keinbocks disease is occurs for unknown reasons. It's severity is graded 1-4, but not everyone goes through all 4 phases. Sometimes it gets better on it's own or with some surgery. Stage 3 has a and b types with b being worse. Stage 4 is complete collapse of the lunate with associated wrist arthritis. You usually need some type of surgery to make this better. Get checked out by a hand surgeon. ...Read more
Keinbocks disease: Does not follow a set timetable. It may never progress quickly or the effects of having it is what transforms the grade. Whether it is 3b or 4 its academic anyway and the key is to treat your symptoms now with an eye towards if you do that hopefully you'll be better off regardless of what it is staged as. ...Read more
I have a stage 3 type b kienbock disease going to have wrist fusion surgery, will the disease go away after surgery?
I developed Kienbock's disease over a year ago and was wondering if there's a chance it can possibly go away by itself. I don't want to get surgery.?
Osteonecrosis: According to UpToDate, nonoperative management is generally unsuccessful with adequate clinical results in only 20% of patients. Thanks for trusting HealthTap! ...Read more
Keinbocks disease: Is from something called avascular necrosis, when the blood supply to the lunate diminished. The exact cause is not known. Other bones in the wrist can get a similar condition but there's no link between keinbocks and these other problems. What can happen is other bones can get arthritic during keinbocks due to a collapse in the structure of the lunate and it's effect on the forces on the wrist. ...Read more
No: Kienbocks is a avascular necrosis and or collapse of the lunate bone of the wrist usually due to abnormal forces placed on the bone by an anatomic abnormality. Treatment if symptomatic and progressive is surgical, correcting the underlying abnormality and sometimes using vascularized bone grafts ...Read more
Keinbocks disease: Is from something called avascular necrosis, when the blood supply to the lunate diminished. The exact cause is not known. Other bones can get arthritic during keinbocks due to a collapse in the structure of the lunate and it's effect on the forces on the wrist. While medication may relieve symtoms due to keinbocks it doesn't cure or alter the disease itself. See a hand surgeon to discuss this. ...Read more
I had kienbocks disease in my left wrist, so what is the likelihood of it happening to my right wrist?
About 5% or less: This is a rare condition, about 200, 000 cases in the us. Based on my own experience and literature reports, my assesment is that it is around 5%, the incidence of bilateral kienbocks disease. ...Read more
What to do if I have kienbocks disease in my right wrist and I'm the radial shortening procedure for kienbocks?
Keinbock's is a: Wrist and hand problem where the lunate, a carpal bone, undergoes a vascular insult or avascular necrosis and the bone literally " dies". It is associated with discomfort and pain in the wrist. Treatment is dependent upon level of discomfort and stage or degree of involvement. In some instances radial shortening is thought to "decompress" the lunate and improve mechanics and blood flow. ...Read more
I was diagnosed with kienbocks disease and was wondering could it be related to a disease called charcot-marie-tooth?
Kienbock's /Charcot: There is no relation between kienbock's disease and charcot-marie tooth syndrome. The former is a condition which affects the blood supply to a bone in the wrist and the latter is a genetic disorder which affects the nerves in the spinal column. Please check with your physician for confirmation. ...Read more
I had surgery on my wrist for kienbocks disease in oct. And recently either the (triquertrum or pisiform) bone and been hurting bad should I worry?
Yes, enough to see:
our surgeon about it. He'll be the best person to look after you.
Good luck. ...Read more
My doctor said I have avascular necrosis of the wrist (kienbock's disease). What can I do about it?
I have been diagnosed with kienbock's disease in my left wrist and now have burning knuckles and sharp pain in my index and middle finger?
I have fracture of the lunate, also deteriating-CT scan showed. Kienbock's disease. I was told 2 options- fused wrist or limp wrist with no grip?
Kienbock's disease: You have a nasty condition. There is an excellent discussion on the web at www. Orthoinfo. Aaos. Org. It details the various options available to you. Hopefully that will help you make a decision. ...Read more
Not typically: Keinbock's affects one of the small wrist bones. If you are overactive in lifting, filing, or otherwise straining the wrist leading to an increase in swelling, it is possible the elbow can be affected. Some of the muscles that flex and extend the wrist joint arise above the elbow and thus referred discomfort can occur. There should not be tenderness at the elbow. If present consider another dx. ...Read more
Have wrist pain. X ray ulnar variance. Doc said it might be kienbock. If it were kienbock, when do I take the mri? Right away?
Keinbocks disease: Involves the blood supply of the lunate, a bone in the wrist. MRI is used to diagnose and help stage the early disease. Standard X-rays are also used as the later stages show. Positive ulnar variance refers to the ulna being too long and it can impact the lunate. MRI may at times not differentiate early impaction v keinbocks. Timing depends upon symptoms, response to rx, and history ...Read more
No: Meuniere's disease means dizziness occasioned by insult, sometimes viral, to the delicate vestibular system in your inner ear. The sensation of the world spinning can be severe and cause nausea and vomiting, like sea sickness. The outcome varies. Attacks come on without warning, can be disabling while they last; but in many cases, the condition passes with or without treatment. ...Read more
Possibly: If your Crohn's is such that it is not controlled medically or surgically and it keeps your from being gainfully employed then you may have a case for filing for disability. Will this be lifelong? Have your been fully diagnosed and treated to the maximum? There are guidelines for disability and you have to meet those. I hope you don't have to file. Get treated the max and lead a normal life. ...Read more
Hard to say: Depends on a lot and what you do for a living. Being disabled means you cannot do anything else as an occupation since the only ability you had was the one occupation you cannot hold anymore. Recommend never getting labeled "disabled" if possible. ...Read more
Unusual question: Why do you want to know? Are you writing a homework assignment or has someone told you that you or someone you know has an abnormal chromosome 17? The answers come from the cytogeneticist who analyzed the chromosomes==not from a list of over a thousand genetic loci which might have mutations. ...Read more
Can you please please make a list of all the diseases, disabilities and conditions linked to chromosome 17?
Chromosome 17 issues:
Cerebroretinal microangiopathy with calcifications and cysts
Charcot-Marie-Tooth disease, type 1
Ehlers-Danlos syndrome, classical type
Glycogen storage disease type II (Pompe disease)
Hereditary neuropathy with liability to pressure palsies
Maturity onset diabetes of the young type 5
Multiple synostoses syndrome
Neurofibromatosis type I
Nonsyndromic deafness, autosomal dominant
Nonsyndromic deafness, autosomal recessive
Osteogenesis Imperfecta, Type I
Osteogenesis Imperfecta, Type II
Osteogenesis Imperfecta, Type III
Osteogenesis Imperfecta, Type IV
Very long-chain acyl-coenzyme A dehydrogenase deficiency ...Read more
Wondering who will pay bills for our kids if they get sick in their 30s? If chronic disease, will disability kick in?
Depends: Not really a medical question - whether disabilty will help depends on the illness, side effects, employability and if the disability plans have any money (social security being my thought). ...Read more
Disability: The question of disability is a difficult one. Disability is determined not by a specific disease, but instead by what a patient is able or unable to do. Mild degenerative disc disease can manifest in different ways. Based on the fact that it is mild, it is unlikely to cause symptoms that are severe enough for disability. However disability is determined by the patient's ability to perform activities and work. Determination of disability requires evaluation by your doctor. ...Read more