Comprehensive Functional and Vocational Rehabilitation of A Kitchen Worker with Kienbocks Disease

Year 2023, , 53 - 59, 28.02.2023

Sandeep Shinde , Rutuja Arulekar , Saylee Dhane , Radha Bhende , Apurva Saptale

https://doi.org/10.33438/ijdshs.1191467

Abstract

Background: A hand injury can be catastrophic because one needs to use their hand for many different tasks in day-to-day life. People who work in the kitchen on a regular basis must repeatedly move their hands, arms, wrists, and shoulders while stirring, chopping, lifting, and carrying heavy vessels. To perform all the activities of daily living complete or functional range of motion and grip strength are the important components. The present case study describes the case of post-operative wrist stiffness secondary to kienbocks disease. This impairment prevents the patient from working in the kitchen. The purpose of the study was to improve the range of motion and grip strength of her affected hand as she has to resume her work as soon as possible. Case description: A 30-year old female who is a kitchen worker has been complaining of pain, and weakness in her left hand was advised to have wrist surgery after the patient's investigations revealed that she had Kienbock's disease. The patient underwent proximal carpectomy of the wrist and was referred to physiotherapy after the sutures were removed. The patient initially complained of pain at the suture site and difficulty moving her left hand.Early physiotherapy was given to the reduce pain, improve the strength of the wrist and finger flexor extensors, improve the range of motion, and vocational rehabilitation to resume her work.

Keywords

Osteonecrosis, Pain, Physiotherapy, Hand Function

Supporting Institution

KRISHNA INSTITUTE OF MEDICAL SCIENCES DEEMED TO BE UNIVERSITY, KARAD,INDIA

References

• Bain, G. I., & Begg, M. (2006). Arthroscopic assessment and classification of Kienbock's disease. Techniques in hand & upper extremity surgery, 10(1), 8-13.
• Cetti, R., Christensen, S. E., & Reuther, K. (1982). Fracture of the lunate bone. Hand, (1), 80-84.
• Edouard, P., Vernay, D., Martin, S., Hirsch, P., Bardoux, S., Grange, C., & Claise, J. M. (2010). Proximal row carpectomy: Is early postoperative mobilisation the right rehabilitation protocol?. Orthopaedics & Traumatology: Surgery & Research, 96(5), 513-520.
• Gelberman, R. H., Bauman, T. D., Menon, J., & Akeson, W. H. (1980). The vascularity of the lunate bone and Kienböck's disease. The Journal of hand surgery, 5(3), 272-278.
• Green DP. Proximal row carpectomy. Hand Clin. 1987 Feb 1;3(1):163-8.
• Innes, L., & Strauch, R. J. (2010). Systematic review of the treatment of Kienböck's disease in its early and late stages. The Journal of hand surgery, 35(5), 713-717.
• Richou, J., Chuinard, C., Moineau, G., Hanouz, N., Hu, W., & Le Nen, D. (2010). Proximal row carpectomy: long-term results. Chirurgie de la Main, 29(1), 10-15.
• Shah, P.S., Shinde, S.B. (2018). Effect ofdesensitization methods during the earlymobilization phase in post-fractureconditions of upper extremity. Asian journal of pharmaceutical and clinical research; 11(7), 93-96.
• Shinde, S. andGhadage, P. (2022). Return to Job of AConstruction Worker by ComprehensiveFunctional and Vocational Rehabilitation. Int JDisabil Sports Health Sci;5(2):97-104
• van Leeuwen, W. F., Janssen, S. J., Ter Meulen, D. P., & Ring, D. (2016). What is the radiographic prevalence of incidental Kienböck disease?. Clinical Orthopaedics and Related Research®, 474(3), 808-813.
• Skirven, T. M., Osterman, A. L., Fedorczyk, J., & Amadio, P. C. (2011). Rehabilitation of the hand and upper extremity, 2-volume set E-book: expert consult. Elsevier Health Sciences.