Kienböck disease

Case contributed by Dr Bahman Rasuli

Presentation

Chronic wrist pain and no history of trauma.

Patient Data

Age: 20 years
Gender: Male
MRI
  • lunate bone is relatively small-sized reflecting diffusely abnormal signal of its marrow with internal cystic changes and edema, being low on T1 and heterogenous bright signal on PD fat impression sequence
  • negative ulnar variance
  • os triangulare

Case Discussion

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

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