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Rehabilitation Practice and Science

Translated Title

半側偏癱中風病人合併月狀骨無菌性壞死：病例報告

Abstract

Kienböck's disease of the wrist is a multifactorial, progressive osteonecrosis of the lunate bone. Patients with this disease often complain of dorsal wrist pain and other wrist dysfunctions. Image studies are usually required for definite diagnosis; however, careful history taking and physical examination are also necessary. Treatment varies according to the stage of the disease; although surgery is needed in most of the cases, rehabilitation after the surgery seems helpful as well. Kienböck's disease is rarely seen in our daily practice, and even though we do recognize the disease, diagnosing it correctly in patients with comorbidities such as stroke is often difficult. We thereby present a case of a patient with hemiparetic stroke in our ward who complained of shoulder and wrist pain. The patient was diagnosed of shoulder-hand syndrome first, but he then turned out to be a victim of Kienböck's disease. This casereport provides an important insight for physiatrists to have a second thought of any refractory wrist pain in a patient with stroke even though it is being treated as a more prevalent disease. Furthermore, physiatrist could further instruct the therapists to adjust their rehabilitation program accordingly and collaborate with orthopedic surgeons to provide a more thorough care for the patients.

Language

English

First Page

133

Last Page

140

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