Kienböck disease

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Atraumatic wrist pain.

Patient Data

Age: 35
Gender: Male
X-ray

Deformity and sclerosis of the lunate bone is present. There is also slightly negative ulnar variance.

X-ray

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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Case information

rID: 54107
Case created: 22nd Jun 2017
Last edited: 6th Jul 2017
Inclusion in quiz mode: Included

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