Kienbock disease

Case contributed by Frank Gaillard
Diagnosis certain


Child with wrist pain.

Patient Data

Age: Child

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.


X-rays demonstrate sclerosis and irregularity of the lunate. 


MRI confirms the absence of normal bone marrow signal (best seen on T1 sequence) with a thin rim of high T2 signal at the periphery of the ossified center (best seen on STIR).

Note also the apparent negative ulnar variance. 

Case Discussion

Although the demographics are atypical, the findings are thought most likely to represent AVN of the lunate (Kienbock disease). 


Case courtesy of Dr Yume Kohno. 

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