Lunate bone osteonecrosis in hemodialysis patient with rheumatoid arthritis: case report

Abstract

Kienbock's disease is the osteonecrosis of lunate bone. Patients usually present with unilateral localized dorsal wrist swelling and pain that increase with movement. Direct radiographic and other imaging methods are used for diagnosis. Cautious evaluation of the radiological findings is substantial, because the management of the disease depends on radiological stage. Here, we present a 46-year-old woman with rheumatoid arthritis who admitted to the outpatient clinic of our hospital, because of pain, swelling and limitation of movement in the left wrist. We want to draw attention Kienbock's disease in patient with rheumatoid arthritis.

Keywords

• osteonecrosis,arthritis,rheumatoid,renal dialysis

Lunate bone osteonecrosis in hemodialysis patient with rheumatoid arthritis: case report

Öz

Kienbock hastalığı lunat kemiğin osteonekrozudur. Hastalar genellikle hareket ile artan ağrı ve unilateral el bilek ekleminin dorsal yüzünde lokalize ödem ile kliniğe başvururlar. Tanı amaçlı direkt radyografiler ve diğer görüntüleme metotları kullanılır. Hastalığın tedavi ve takibinde radyolojik evreleme önemli olduğu için, radyografik bulguların dikkatli bir şekilde değerlendirilmesi oldukça temeldir. Bu yazıda, el bileği ekleminde hareket kısıtlanması, ağrı ve ödem şikayetleriyle  ile polikliniğe başvuran Romatoid Artrit tanılı 46 yaşında bir olgu sunulmuştur.  Yazımızda Romatoid Artritli hastalarda Kienböck hastalığına dikkat çekmek istedik.

Anahtar Kelimeler

• Osteonekroz,artrit,romatoid,böbrek diyalizi

Kaynakça

1. Reference1. Fontaine C .Kienböck's disease. Chir Main 2015;34:4-17
2. Reference2. Rizzo M, Urbaniak JR. Osteonecrosis In: Harris ED, Budd RC, Firestein GS, Genovese MC, Sergent JS, Ruddy S, Sledge CB Editors. Kelley’s Textbook of Rheumatology Volume II. Seventh Ed. Philadelphia: Elsevier Saunders 2005;1812-28.
3. Reference3. Breitenseher JM, Gaebler C. Trauma of the wrist. European J Radiol 1997;25:129-39
4. Reference4. Desy NM, Bernstein M, Harvey EJ, Hazel E. Kienböck’s disease and juvenile idiopathic arthritis. Mcgill J Med 2011;12:8–13
5. Reference5. Beredjiklian PK. Kienböck’s disease. J Hand Surg Am 2009;34:167–75
6. Reference6. Mok CC, Wong RW, Lau CS. Kienbock's disease in rheumatoid arthritis. Br J Rheumatol 1998;37:796-7
7. Reference7. Weinstein RS Glucocorticoid-induced osteonecrosis. Endocrine 2012;41:183-90
8. Reference8. Edmunds I, Harvey FJ. Bilateral Kienböck’s disease in a patient on haemodialysis. Aust N Z J Surg 1998;68:304

9. Reference9. Yamada S, Eriguchi R, Toyonaga J, Taniguchi M, Fujimi S, Tsuruya K. Kienböck’s disease: Unusual cause of acute onset wrist pain in a dialysis patient. Intern Med 2011;50:467–9
10. Reference10. Kang GW, Lee DY, Lee YH, Ahn KS, Kim SK, Lee IH. Kienböck's disease associated with radiocephalic fistula formation in a patient with end-stage renal disease. Hemodial Int 2013;17:648-51
11. Reference11. Irisarri C. Aetiology of Kienböck’s disease. J Hand Surg Br 2004;29:281–7