Kienbock Disease Clinical Presentation

Updated: Sep 27, 2019
  • Author: Brian J Divelbiss, MD; Chief Editor: Harris Gellman, MD  more...
  • Print
Presentation

History and Physical Examination

The most common patient with Kienböck disease is a man aged 20-40 years who either works as a manual laborer or participates in recreational activities that repetitively load the wrist. Patients present with reports of activity-related dorsal wrist pain, decreased wrist motion in the flexion-extension arc, and poor grip strength. The symptoms tend to occur more often in the dominant hand. Dorsal wrist swelling and tenderness are frequently present over the radiocarpal joint. A history of trauma is variable and may be in the distant past.

A review that focused on Kienböck disease in women revealed that men and women have different presentations of Kienböck disease. Women had roughly equivalent involvement of the dominant and nondominant sides, and they tended to present at a much older age than men did (46 years vs 31 years).