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The Journal of Bone and Joint Surgery 78:1568-73 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Kienböck Disease in a Child Who Has Cerebral Palsy. A Case Report*

WALTER B. GREENE, M.D.{dagger}, CHAPEL HILL, NORTH CAROLINA

Investigation performed at the Division of Orthopaedics, University of North Carolina School of Medicine, Chapel Hill


   Introduction
 
The etiology and treatment of Kienböck disease, or osteonecrosis of the lunate, remain controversial. The condition is frequently associated with repetitive trauma, and the typical patient is twenty to forty years old and has noted an insidious onset of pain and stiffness in the wrist.

Kienböck disease is uncommon in children. In four large series, only five (1 per cent) of 404 patients were less than sixteen years old at the time of diagnosis7,9,36,44. Furthermore, the children in those reports were involved either in sports activities that had caused repetitive trauma to the wrist, such as gymnastics, or they had sustained an acute injury. A ten-year-old child who had diplegic cerebral palsy and Kienböck disease is described in the present report.


   Case Report
 
A ten-year and ten-month-old white girl who had moderately severe diplegic cerebral palsy was seen two weeks after the onset of pain and decreased motion of the left . . . [Full Text of this Article]


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