Kienbock's Disease Treatment in Hyderabad
Diagnosed with Kienbock's disease or persistent wrist pain? Get expert evaluation and treatment for lunate bone problems at Apollo Hospitals Financial District.
Progressive disease
3-6 months post-surgery
₹80,000 - ₹1,50,000
What is Kienbock's Disease?
Kienbock's disease (lunatomalacia) is a condition where the lunate bone in the center of the wrist loses its blood supply and gradually dies (avascular necrosis). Over time, the dead bone softens, collapses, and fragments, leading to wrist pain, stiffness, and arthritis.
The lunate is a small, moon-shaped bone that's crucial for wrist function. It sits at the center of the wrist and bears significant load during gripping and lifting. Its blood supply can be vulnerable, especially in people with anatomical variations.
Kienbock's disease typically affects young to middle-aged adults (20-40 years) and is more common in manual workers. Early diagnosis and treatment are important to preserve wrist function.
Stages and Treatment
Stage I: Normal X-ray, MRI shows changes
Stage II: Sclerosis (increased density) on X-ray
Treatment: Immobilization, core decompression, revascularization procedures
Stage III: Lunate collapse
Stage IV: Wrist arthritis
Treatment: Radial shortening, proximal row carpectomy, wrist fusion
Frequently Asked Questions
What is Kienbock's disease?+
Kienbock's disease is avascular necrosis (loss of blood supply) of the lunate bone in the wrist. Without blood supply, the bone gradually dies and collapses, leading to wrist pain, stiffness, and eventually arthritis.
What causes Kienbock's disease?+
The exact cause is unclear. Risk factors include trauma, ulnar minus variance (short ulna bone), single blood vessel supply to the lunate, and repetitive wrist loading. It often affects young adults aged 20-40.
How is Kienbock's disease treated?+
Treatment depends on disease stage. Early stages may be treated with immobilization or core decompression. Later stages require radial shortening osteotomy, lunate revascularization, or salvage procedures like proximal row carpectomy or fusion.
How much does Kienbock's treatment cost in Hyderabad?+
Surgery for Kienbock's disease costs ₹80,000-1,50,000 depending on the procedure. Radial shortening osteotomy and vascularized bone grafting are more complex. Insurance typically covers these procedures.
What is the prognosis for Kienbock's disease?+
Early detection and treatment provide the best outcomes. With appropriate surgery, most patients achieve good pain relief and functional improvement. Advanced cases with collapse may have some permanent limitations.
Related Conditions
YOUR TREATING SURGEON
Dr. Deepthi Nandan Reddy
Senior Consultant Orthopaedic & Upper-Limb Surgeon | Apollo Hospitals
Why Choose Dr. Deepthi Nandan Reddy?
International fellowship training combined with decades of experience delivering world-class upper limb care
UK CCT
Certificate of Completion of Training - One of few Indian surgeons with NHS Consultant experience
FRCS (UK)
Fellow of Royal College of Surgeons, Edinburgh & UK
Mayo Clinic Fellow
British Shoulder & Elbow Society - Mayo Clinic Travelling Fellowship
SESI President
President, Shoulder & Elbow Society of India
30+ Years Experience
15,000+ patients treated, 5,000+ surgeries performed
Published Researcher
Co-author of Operative Elbow Surgery, international conference faculty
Dr. Reddy's Specialty Clinics
Comprehensive Upper Limb Care
Continue Learning