Kienbock S Disease

Congenital abnormalities of the carpus are rare in isolation and typically present as part of a generalized syndrome. Treatment of carpal disorders within these syndromes continues to require an understanding of the influence the wrist's position on overall upper extremity function. In addition, carpal ossification throughout childhood presents a unique set of influences regarding pediatric carpal injury. Although the pediatric carpus is capable of remodeling and revascularization, cases requiring surgical intervention depend on the physician's level of clinical suspicion for timely diagnosis and treatment.

Laurin Sandrow
Fig. 15. (A-D) 14-year-old girl who has Down syndrome and bilateral palmar wrist dislocation. Patient did not have any wrist pain and was referred by her cardiologist for bilateral hand weakness.

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Hand Clin 22 (2006) 465-473

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