J Korean Acupunct Moxib Soc Search


J Acupunct Res > Volume 30(5); 2013 > Article
Lee, Kim, Lim, Lee, Lee, Jung, and Lee: A Case Report on Kienböck’s Disease by Korean Medical Treatments
See the Original "".



The purpose of this study is to report the clinical effects of Korean medical treatment for Kienböck’s disease.


The patient was treated using acupuncture, electroacupuncture, herbal medicine, pharmacopuncture treatment, and other treatments including moxibustion, physical rehabilitation for 6 weeks. And we evaluated the patient through verbal rating scale(VRS), disability of the arm, shoulder and hand(DASH), range of motion(ROM).


After treatment, VRS is changed from 7 to 3, DASH is changed from 37.93 to 20.69. And ROM is changed from 60° to 70° in wrist flexion, and from 10° to 15° in radial deviation.


These results suggest that Korean medical treatment is effective to the patient complaining pain and dysfunction.

Fig. 1.
X-ray and MRI of Rt wrist
Table 1.
The Change of Verbal Rating Scale, Disability of the Arm, Shoulder and Hand and Range of Movement
Admission day classification 0 week 2 week 3 week 4 week 6 week (after discharge, 2 weeks later)
VRS 7 4 4 3∼4 3
DASH 37.93 34.48 29.31 28.45 20.69
ROM Wrist flexion 60(+)/80(−) 70(+)/80(−) 70(+)/80(−) 70(+)/80(−) 70(+)/80(−)
Radial deviation 10(+)/20(−) 15(+)/20(−) 15(+)/20(−) 15(+)/20(−) 15(+)/20(−)

VAS : verbal rating scale.

DASH : disability of the arm, shoulder and hand.

ROM : range of movement

V. References

1. The Korean Orthopedic Association. Orthopedics. 6th ed. Seoul: The newest medical Publishers Co. 2006:576–7.

2. Moon ES, Ko JY. Clinical Study of Kienböck Disease. J of Korean Orthop Assoc. 1989;24(5):1419–24.
3. Rhee SK, Kim TH. Clinical Study of Kienböck Disease. J of Korean Orthop Assoc. 1990;25(5):1453–60.
4. Kim CJ, Ju YS, Im HJ, Bang YW, Kwon YJ. A Case of Kienböck Disease from Repetitive Contact Stress. Korean J Occup Environ Med. 2011;23(3):343–49.
5. Stahl S, Santos Stahl A, Rahmanian-Schwarz A, et al. An international opinion research survey of the etiology, diagnosis, therapy and outcome of Kienböck’s disease(KD). Chirurgie de la main. 2012;31(3):128–37.
crossref pmid
6. Van den Dungen S, Dury M, Foucher G, Marin Braun F, Lorea P. Conservative treatment versus scaphotrapeziotrapezoid arthrodesis for Kienbock’s disease. Aretrospective study. Chirurgie de la main. 2006;25(3–4):141–45.
crossref pmid
7. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. The Acupuncture and Moxibustion Medicine. Seoul: Jipmoondang. 2012:480–4.

8. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. The Acupunture and Moxibustion Medicine. Seoul: Jipmundang. 2012:618–25.

9. Korean Pharmacopuncture institute. The Guide of Pharmacopuncture. Seoul: Korean Pharmacopuncture institute. 2000:161–2, 284313.

10. Ahn HL, Shin MS, Kim SJ, Choi JB. Effects of Neurtal Eohyeol(Yuxue) Herbal Acupuncture and Dangkisoo-san(Dangguixu-san) on Fracture Healing in the Early Stage in Rats. J Oriental Rehab Med. 2007;17(1):1–16.

11. Lim JY, Lee HY, Song JH, Kang JW, Lee JY. Evaluation of the Reliability, Construct Validity, and Responsibeness of the Korean Version of the DASH. The Jounal of the Korean Society for Surgery of the Hand. 2005;10(4):192–8.

12. Park SW, Shon WL. Anatomic Variations in Radial and Ulnar Lengths(Ulnar Variance) of the Normal Wrists and Kienböck’s Disease in Korean. J of Korean Orthop Assoc. 1982;17(2):277–82.
13. Heo J. Dongeuibogam. Seoul: Yeogang Co. 2005:1068–9.

14. Choi SH, Kim KU, Lee YK, et al. A Case Report of Sepuela of Operation of Talus Osteonecrosis. J of Korean institute of Herbal Acupuncture. 2006;9(1):115–20.

15. Kim JS, Kim HH, Choi HY, Kim CH. Effect of Bee Venom Therapy in a Rat Femoral Artery Model induced Vasospasm. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2003;20(1):35–50.
16. Huh JE, Baek YH, Choi DY, Lee JD, Park DS. Effects of Uncaria rhynchophylla Extracts on Differentiation and Bone Mineralized Formation in Human Osteoblast-like SaOS-2 cells. Korean Jounal of Oriental Medicine. 2007;28(4):158–67.

17. Lee ML, Hug JE, Nam DW, et al. Effects of Astragalus Membranaceus, Innamomum Cassia, Phellodendron Amurensis(BHH10) on MC3T3-E1 Cells Proliferation, Differentiation and Bone Mineralized Formation. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2012;29(6):11–21.
18. Huh JE, Yang HR, Park DS, et al. Puerariae radix promotes differentiation and mineralization in human osteoblast-like SaOS-2 cells. Jounal of Ethnoparmacology. 2006;104:345–50.
19. Lee SM, Song SW, Rhee SK, Park JC, Na KT. Limited Wrist Fusion for Kienböck’s Disease. J Korean Orthop Assoc. 2010;45(4):249–55.
20. Kang CH, Cho CH, Kim KW. Rupture of the Extensor Tendom Secondary to Advanced Kienböck’s Disease. J Korean Orthop Assoc. 2012;47(1):59–63.

Article and Issues
For this Journal
For Authors
Submit Manuscript
Editorial Office
Gil Korean Medical Hospital, Gachon University
Keunumul-Ro, Chung-Ku, Inchoen 22138, Korea
Tel: +82-70-7606-6353,4    Fax: +82-32-232-3334    E-mail: jared@e-jar.org                

Copyright © 2020 by Korean Acupuncture & Moxibustion Medicine Society. All rights reserved.

Developed in M2community

Close layer
prev next