Kienböck disease

Case contributed by Ali Abougazia
Diagnosis certain

Presentation

Hand pain for a long time that has been increasing in severity.

Patient Data

Age: 16 years
mri

The lunate bone appears collapsed and sclerotic with predominately low signal intensities in all pulse sequences. There is negative ulnar variance in the scanned position.

Case Discussion

Features are consistent of  Kienböck disease ( avascular necrosis of the lunate bone). There is negative ulnar variance which is commonly associated with this condition. 

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