Pan African Medical Journal
Journal / Pan African Medical Journal / Vol. 34 No. 1 (2019) / Articles

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Published:

Oct 16, 2019

Keywords:

Pediatric; lunatum; kienböck

Issue

Vol. 34 No. 1 (2019)

Section

Articles

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Ahmed Amine Mohseni

Department of Orthopaedic Surgery, Children’s Hospital Pediatric Orthopedic Surgery Department Béchir Hamza, Tunis, Tunisia

Mohamed Zairi

Department of Orthopaedic Surgery, Children’s Hospital Pediatric Orthopedic Surgery Department Béchir Hamza, Tunis, Tunisia

Rim Boussetta

Department of Orthopaedic Surgery, Children’s Hospital Pediatric Orthopedic Surgery Department Béchir Hamza, Tunis, Tunisia

Walid Saied

Department of Orthopaedic Surgery, Children’s Hospital Pediatric Orthopedic Surgery Department Béchir Hamza, Tunis, Tunisia

Sami Bouchoucha

Department of Orthopaedic Surgery, Children’s Hospital Pediatric Orthopedic Surgery Department Béchir Hamza, Tunis, Tunisia

Nebil Nessib

Department of Orthopaedic Surgery, Children’s Hospital Pediatric Orthopedic Surgery Department Béchir Hamza, Tunis, Tunisia

Abstract

Kienböck disease is a pathology that remains uncommon in children, therefore the number of published cases of Kienböck’s disease before skeletal
maturity is limited. The etiology of Kienböck’s disease is still controversial. Although many therapeutic methods are described in the literature. There
is no consensus treatment for this pathology. We describe a case of Kienböck’s disease of an 11-year-old girl who presented with avascular necrosis
of the lunate bone confirmed by the radiologic pattern. And who was treated with 10 weeks of splinting with satisfying clinical outcome. Wrist pain
and other symptoms resolved after 2 months. A magnetic resonance imaging (MRI) confirmed partial revascularization of the lunate. After 18 months
of follow-up the patient remains asymptomatic.

Journal Identifiers

eISSN: 1937-8688