Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive left wrist pain localized to the dorsal aspect, exacerbated by gripping and weight-bearing activities. Reports associated stiffness, intermittent swelling, and decreased grip strength. No history of acute trauma. Symptoms are consistent with stage [Insert Stage] Kienbockโs disease.
Clinical Examination Findings
Left wrist examination reveals localized tenderness over the lunate fossa. Range of motion is restricted in both flexion and extension. Grip strength is diminished compared to the contralateral side. No signs of distal neurovascular compromise. Scapholunate interval appears stable.
Treatment Protocol
Management plan includes immobilization with a wrist splint, activity modification, and NSAIDs for pain control. Referral for advanced imaging (MRI) to assess vascularity and staging. Surgical consultation for potential revascularization or unloading procedures (e.g., radial shortening osteotomy) pending disease progression.