Presentation
Atraumatic wrist pain.
Patient Data
Age: 35 years
Gender: Male
From the case:
Kienböck disease
Frontal
Deformity and sclerosis of the lunate bone is present. There is also slightly negative ulnar variance.
From the case:
Kienböck disease
Frontal
Same patient after radial shortening to correct negative ulnar variance.
Case Discussion
Deformity and sclerosis of the lunate bone is compatible with Kienbock disease which is a type of the avascular necrosis.There is a significant association between negative ulnar variance and Kienbock disease, although the majority of people with negative ulnar variance do not have the condition.
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