Treatment of gout combined with Kienböck's disease: A case report

Cases of Kienböck's disease combined with gout are rare; to the best of our knowledge, the current report is the third such case reported in the literature. The current report presents the case of a 49-year-old male patient with Kienböck's disease combined with gout. The patient had experienced swelling and pain of their right wrist for 1 month. Through a combination of clinical history, physical examination, laboratory results, radiological and intraoperative findings, the patient was diagnosed with stage IIIB-IV Kienböck's disease and gout. The patient recovered well following a synovectomy and medication for gout. The rarity of the present case makes it difficult to examine the potential association between gout and Kienböck's disease. Kienböck's disease combined with gout tends to be ignored and is easily misdiagnosed. However, the surgical procedure selection for Kienböck's disease combined with gout is markedly different from the conventional surgery for Kienböck's disease or gout alone. The current study outlines a successful treatment strategy for gout combined with Kienbock's disease.