Presentation
Wrist pain without a clear history of trauma.
Patient Data
Age: 20 years
Gender: Female
From the case:
Kienböck disease
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The lunate bone is sclerotic, deformed and fragmented, accompanied by degenerative changes as sub-chondral sclerosis and joint space narrowing in the radiocarpal joint.
Negative ulnar variance is also evident.
Case Discussion
Findings are compatible with Kienböck disease, a type of osteonecrosis that involves the lunate. A significant association is present between negative ulnar variance and Kienböck disease.
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