Kienböck's disease - Mr Rooney: Part 1
Summary
Explore compelling research on the overlooked King Box Disease in this comprehensive on-demand teaching session. Understand its prevalence, diagnosed through a meticulous analysis of over 150,000 radiological images from Edinburgh. The session will delve into its typical manifestation, primarily affecting males within the age range of 30-50, presenting dorsal, central wrist pain, swelling, reduced wrist strength, and loss of range of movement. Uncover the complex diagnostic process, including the key role of MRI Scan or CT Scan, especially in late presentations. Join us for this enlightening session that gives comprehensive insights into King Box Disease, its demographics, typical presentations, and diagnostic process.
Learning objectives
- Understand the prevalence of King Box disease as well as its typical demographics based on the Edinburgh Study.
- Identify the common symptoms and presentations of King Box disease.
- Deepen understanding of the characteristics of patients who tend to present later, typically within the context of manual labor.
- Learn how to perform a clinical examination for King Box disease, including common findings and localization of pain.
- Gain knowledge about the diagnostic process for King Box disease, including the usefulness of X-ray and other types of cross-sectional imaging in its diagnosis.
Similar communities
Similar events and on demand videos
Computer generated transcript
Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.
The prevalence of King Box disease has been found to be around seven in 100,000. This is a rate of naught point naught naught 6 6%. This has been based on a radiological study of just over 100 and 50,000 reports or images in and around the Edinburgh area. This was published in 2016. You can see the publication at the top of the slide of these 150,000 reports or images. They identified 18 wrists with King Box disease. 13 of these were already known to have king box and five of these were incidental findings. The typical demographics for King box is male typically of the age group around 30 to 50 years. However, this can affect both sexes and can affect all age groups. In the Edinburgh study out of the 18 that were identified, 14 were men and all were between 34 and 50 years of age. The typical presentation of Kee Box disease is dorsal, central wrist pain. This can be associated with swelling in the same region and a loss of range of movement. There is often reduced wrist strength. However, it is not uncommon for late presentations. And you will find those groups of people. Personally, I found usually manual working men who tend to present later than other groups of people. Once you have seen the patient in clinic, you perform a clinical examination, you will find usually a reduced range of movement as previously discussed. And you will also be able to identify where the the area of the pain is in clinic. You will start off with an X ray, but it's quite common whether or not you find something on the x-ray to move on to cross sectional imaging, especially if you are suspecting Kembo disease. This could be in the form of MRI scan or CT scan. Often we will use both.