Kienbock disease

Case contributed by A.Prof Frank Gaillard

Presentation

Child with wrist pain.

X-ray
MRI

Case Discussion

X-rays demonstrate sclerosis and irregularity of the lunate

MRI confirms 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 centre (best seen on STIR).

Note also the apparent negative ulnar variance

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

Case courtesy of Dr Yume Kohno. 

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Case information

rID: 12811
Case created: 13th Jan 2011
Last edited: 15th Nov 2015
Tags: wrist, lunate, avn
Inclusion in quiz mode: Included

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