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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
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Abstract
KIENBÖCK DISEASE VERSUS BONE EDEMA: CASE REPORT OF A CHILD AND YOUTH TENNIS PLAYER
Gabriel S. Thiago Cavalleiro, Vinicius Moreira Paladino, Leandro Raider dos Santos, Eduardo Mattos S.Thiago, Julia Mattos S. Thiago, Pedro S. Thiago Cavalleiro, Gustavo Adolfo Costa Mello, André Luis Vieira Cavalheiro and Daniel Almeida
ABSTRACT
Kienbock's disease is a rare disease, caused by avascular necrosis of the semilunar bone, and it can make a differential diagnosis with several diseases that course with wrist arthralgia. The main differential diagnosis is lunate bone edema. This study aims to report the case of a child and adolescent tennis player who had arthralgia during a competitive calendar, presenting changes in imaging tests compatible with Kienbock's disease, but showing regression after conservative treatment, in a period of 3 months, configuring only bone edema. lunate triggered by repetitive trauma related to sport effort. As a therapeutic form for Kienbock's disease, surgical approaches can be performed for more advanced stages of the disease, but in the early stages, conservative treatment is performed with physiotherapy and symptomatic drugs, being the modality of choice in cases of bone edema and tendinopathies. In the report presented, the conservative measures showed a good response, evidencing better completeness of the lunate bone edema, allowing the patient to return to the practice of activities.
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