Presentation
Pain in wrist
Patient Data
Age: 25 years
Gender: Female
From the case:
Kienböck disease
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/125043/annotated_viewer_json?iframe=true\u0026lang=us"}
Avascular necrosis of lunate with areas of sclerosis and significant marrow edema.
Mild partial collapse with reduction in height.
Associated loss of articular cartilage is seen along volar aspects of distal radius with subchondral cysts / erosions and mild cortical irregularity.
Negative ulnar variance is seen in present position with shortening of ulna relative to radius 3.3mm.
Case Discussion
Findings are suggestive of Kienböck disease. An association between negative ulnar variance and Kienböck disease has been described.