Early Kienbock disease

Case contributed by Dr Matt Skalski

Presentation

Wrist pain.

Patient Data

Age: 35
Gender: Male
MRI

There is 4mm 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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Case information

rID: 30927
Case created: 9th Sep 2014
Last edited: 9th Jan 2016
Inclusion in quiz mode: Included

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