Kienbock disease

Case contributed by Dr Ahmed Abdrabou

Presentation

Chronic wrist pain and no history of trauma

Patient Data

Age: 17 years
Gender: Male
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
CT

The lunate bone is collapsed and sclerosed with gas locules inside. There is no significant rotation or abnormal distance from the scaphoid. The other carpal bones are unremarkable with no evidence of osteoarthritis. Negative ulnar variance is noted.

Case Discussion

Findings are suggestive of Kienbock disease stage IIIa. Kienbock disease is a form of osteonecrosis of the lunate bone and associated with negative ulnar variance.

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