Kienböck disease

Case contributed by Dr Abbas M. Mahmood

Presentation

Wrist pain

Patient Data

Age: 40 years
Gender: Female
X-ray

There is diffuse sclerosis of lunate with preservation of its shape and contour with normal (no degenerative changes in) surrounding bone and joints and normal ulnar (no negative or positive ulnar variant).

MRI

There is a diffuse abnormal signal of lunate which shows a high signal on T1-TIRM, PD fat sat, and low in T1 and T2 without fat sat and heterogeneously higher in fat suppression sequences, comparing with other carpal bones, suggesting edema and loss of fatty marrow with preservation of its shape and contour and normal (no degenerative changes in) surrounding bone and joints.

Case Discussion

Picture suggestive of stage II Kienböck disease

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