Kienbock’s disease is osteochondritis of which bone?
## **Core Concept**
Kienbock's disease is a rare condition characterized by osteochondritis, specifically affecting one of the carpal bones in the wrist. Osteochondritis refers to a condition where both the cartilage and the underlying bone become inflamed. This condition often leads to pain and limited mobility in the affected area.
## **Why the Correct Answer is Right**
The correct answer, , refers to the lunate bone. Kienbock's disease specifically involves the lunate bone, which is one of the eight carpal bones in the wrist. The condition leads to avascular necrosis of the lunate bone due to a disruption in its blood supply. This disruption can result from various factors, including trauma, anatomical variations in blood supply, or repetitive stress. The lunate bone's unique blood supply, which enters through a limited number of vessels, makes it particularly susceptible to such ischemic events.
## **Why Each Wrong Option is Incorrect**
- **Option A:** - Scaphoid bone is incorrect because, although it is also a carpal bone, osteochondritis of the scaphoid is known as Preiser's disease.
- **Option B:** - Triquetrum bone is incorrect as there is no commonly recognized association of osteochondritis specifically with this bone.
- **Option D:** - Pisiform bone is incorrect because, while it is a carpal bone, it is not typically associated with Kienbock's disease.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that Kienbock's disease often presents with wrist pain and limited mobility, particularly affecting the dominant hand. It is more common in young adults. A classic clinical correlation is its association with individuals who engage in activities that involve repetitive loading of the wrist, such as jackhammer operators.
## **Correct Answer:** . Lunate.