WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals
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ISSN 2457-0400

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Indexing

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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