Kienböck disease

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Wrist pain.

Patient Data

Age: 20 years
Gender: Female
mri

Collapsed lunate bone of low signal intensity on both T1WI/T2WI (sclerosis) with edema of the radial aspect of high signal on T2WI, enhanced on postcontrast sequences. Rotation of the scaphoid bone with a negative ulnar variance are noted.

A ganglion cyst is noted at the ulno-carpal joint.

Case Discussion

MRI features of a Kienböck disease in a young female patient with a negative ulnar variance which is considered as a predisposing factor in 75% of cases.

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