Kienböck disease

Case contributed by Dr Bahman Rasuli

Presentation

Right wrist pain.

Patient Data

Age: 20 years
Gender: Male
MRI

The lunate bone is collapsed and displays low signal intensity in all sequences, although there is some marrow edema and degenerative cystic change.

Negative ulnar variance is also seen, with shortening of the distal ulnar in relation to the distal radius.

Synovial cysts originate from the lunotriquetral and radiocarpal joint spaces, respectively. 

There is intact triangular fibrocartilage.

Case Discussion

Avascular necrosis of the lunate bone (Kienbock disease).

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Case information

rID: 66216
Published: 17th Feb 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center