Early Kienbock disease

Case contributed by Dr Matt Skalski

Presentation

Wrist pain.

Patient Data

Age: 35 years
Gender: Male
MRI

There is 4 mm of negative ulnar variance with patchy, ill-defined areas fluid signal (high STIR, low T1) within the lunate.

Case Discussion

The signal changes within the lunate and presence of negative ulnar variance are classic for Kienbock disease, which in this case is in the early stages without evidence of collapse or other associated changes.  

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