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.
From the case:
Kienbock disease
{"study":{"id":58102,"case_slug":"kienbock-disease-8","modality":"CT","series":[{"id":29400822,"content_type":"image/jpeg","frames":[{"id":29400822,"width":1199,"height":630,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"20199793a8881417cee7f69ebe704a_tiny.jpeg","jumbo":"20199793a8881417cee7f69ebe704a_jumbo.jpeg","small":"20199793a8881417cee7f69ebe704a_small.jpeg","thumb":"20199793a8881417cee7f69ebe704a_thumb.jpeg","medium":"20199793a8881417cee7f69ebe704a_medium.jpeg","gallery":"20199793a8881417cee7f69ebe704a_gallery.jpeg","big_gallery":"20199793a8881417cee7f69ebe704a_big_gallery.jpeg","original":"20199793a8881417cee7f69ebe704a.jpg"}]},"perspective":"CT scout","specifics":"CT scout"},{"id":29400840,"content_type":"image/jpeg","frames":[{"id":29400823,"width":630,"height":630},{"id":29400824},{"id":29400825},{"id":29400826},{"id":29400827},{"id":29400828},{"id":29400829},{"id":29400830},{"id":29400831},{"id":29400832},{"id":29400833},{"id":29400834},{"id":29400835},{"id":29400836},{"id":29400837},{"id":29400838},{"id":29400839},{"id":29400840,"current":true},{"id":29400841},{"id":29400842},{"id":29400843},{"id":29400844},{"id":29400845},{"id":29400846},{"id":29400847},{"id":29400848},{"id":29400849},{"id":29400850},{"id":29400851},{"id":29400852}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"89094ce064b759877161ab4357a9da_tiny.jpeg","jumbo":"89094ce064b759877161ab4357a9da_jumbo.jpeg","small":"89094ce064b759877161ab4357a9da_small.jpeg","thumb":"89094ce064b759877161ab4357a9da_thumb.jpeg","medium":"89094ce064b759877161ab4357a9da_medium.jpeg","gallery":"89094ce064b759877161ab4357a9da_gallery.jpeg","big_gallery":"89094ce064b759877161ab4357a9da_big_gallery.jpeg","original":"89094ce064b759877161ab4357a9da.jpg"},{"tiny":"b128dc0182016cf5918b6de902bc7e_tiny.jpeg","jumbo":"b128dc0182016cf5918b6de902bc7e_jumbo.jpeg","small":"b128dc0182016cf5918b6de902bc7e_small.jpeg","thumb":"b128dc0182016cf5918b6de902bc7e_thumb.jpeg","medium":"b128dc0182016cf5918b6de902bc7e_medium.jpeg","gallery":"b128dc0182016cf5918b6de902bc7e_gallery.jpeg","big_gallery":"b128dc0182016cf5918b6de902bc7e_big_gallery.jpeg","original":"b128dc0182016cf5918b6de902bc7e.jpg"},{"tiny":"0b00f3ea06842cf5c402da78e4aa4d_tiny.jpeg","jumbo":"0b00f3ea06842cf5c402da78e4aa4d_jumbo.jpeg","small":"0b00f3ea06842cf5c402da78e4aa4d_small.jpeg","thumb":"0b00f3ea06842cf5c402da78e4aa4d_thumb.jpeg","medium":"0b00f3ea06842cf5c402da78e4aa4d_medium.jpeg","gallery":"0b00f3ea06842cf5c402da78e4aa4d_gallery.jpeg","big_gallery":"0b00f3ea06842cf5c402da78e4aa4d_big_gallery.jpeg","original":"0b00f3ea06842cf5c402da78e4aa4d.jpg"},{"tiny":"8f8320aaa0f0303942b50562a3216a_tiny.jpeg","jumbo":"8f8320aaa0f0303942b50562a3216a_jumbo.jpeg","small":"8f8320aaa0f0303942b50562a3216a_small.jpeg","thumb":"8f8320aaa0f0303942b50562a3216a_thumb.jpeg","medium":"8f8320aaa0f0303942b50562a3216a_medium.jpeg","gallery":"8f8320aaa0f0303942b50562a3216a_gallery.jpeg","big_gallery":"8f8320aaa0f0303942b50562a3216a_big_gallery.jpeg","original":"8f8320aaa0f0303942b50562a3216a.jpg"},{"tiny":"4507cd94ffceb9b52ed2d499acd4fa_tiny.jpeg","jumbo":"4507cd94ffceb9b52ed2d499acd4fa_jumbo.jpeg","small":"4507cd94ffceb9b52ed2d499acd4fa_small.jpeg","thumb":"4507cd94ffceb9b52ed2d499acd4fa_thumb.jpeg","medium":"4507cd94ffceb9b52ed2d499acd4fa_medium.jpeg","gallery":"4507cd94ffceb9b52ed2d499acd4fa_gallery.jpeg","big_gallery":"4507cd94ffceb9b52ed2d499acd4fa_big_gallery.jpeg","original":"4507cd94ffceb9b52ed2d499acd4fa.jpg"},{"tiny":"1807b4f6ad3d4e3aad2f11693e4613_tiny.jpeg","jumbo":"1807b4f6ad3d4e3aad2f11693e4613_jumbo.jpeg","small":"1807b4f6ad3d4e3aad2f11693e4613_small.jpeg","thumb":"1807b4f6ad3d4e3aad2f11693e4613_thumb.jpeg","medium":"1807b4f6ad3d4e3aad2f11693e4613_medium.jpeg","gallery":"1807b4f6ad3d4e3aad2f11693e4613_gallery.jpeg","big_gallery":"1807b4f6ad3d4e3aad2f11693e4613_big_gallery.jpeg","original":"1807b4f6ad3d4e3aad2f11693e4613.jpg"},{"tiny":"cc4521b76a54a4dd3cf66f7ad15c01_tiny.jpeg","jumbo":"cc4521b76a54a4dd3cf66f7ad15c01_jumbo.jpeg","small":"cc4521b76a54a4dd3cf66f7ad15c01_small.jpeg","thumb":"cc4521b76a54a4dd3cf66f7ad15c01_thumb.jpeg","medium":"cc4521b76a54a4dd3cf66f7ad15c01_medium.jpeg","gallery":"cc4521b76a54a4dd3cf66f7ad15c01_gallery.jpeg","big_gallery":"cc4521b76a54a4dd3cf66f7ad15c01_big_gallery.jpeg","original":"cc4521b76a54a4dd3cf66f7ad15c01.jpg"},{"tiny":"63892c535928f914d06230d114628f_tiny.jpeg","jumbo":"63892c535928f914d06230d114628f_jumbo.jpeg","small":"63892c535928f914d06230d114628f_small.jpeg","thumb":"63892c535928f914d06230d114628f_thumb.jpeg","medium":"63892c535928f914d06230d114628f_medium.jpeg","gallery":"63892c535928f914d06230d114628f_gallery.jpeg","big_gallery":"63892c535928f914d06230d114628f_big_gallery.jpeg","original":"63892c535928f914d06230d114628f.jpg"},{"tiny":"2ce5877666a86755d441806c6f6beb_tiny.jpeg","jumbo":"2ce5877666a86755d441806c6f6beb_jumbo.jpeg","small":"2ce5877666a86755d441806c6f6beb_small.jpeg","thumb":"2ce5877666a86755d441806c6f6beb_thumb.jpeg","medium":"2ce5877666a86755d441806c6f6beb_medium.jpeg","gallery":"2ce5877666a86755d441806c6f6beb_gallery.jpeg","big_gallery":"2ce5877666a86755d441806c6f6beb_big_gallery.jpeg","original":"2ce5877666a86755d441806c6f6beb.jpg"},{"tiny":"bdc77f4261e4b13009ace21199a76f_tiny.jpeg","jumbo":"bdc77f4261e4b13009ace21199a76f_jumbo.jpeg","small":"bdc77f4261e4b13009ace21199a76f_small.jpeg","thumb":"bdc77f4261e4b13009ace21199a76f_thumb.jpeg","medium":"bdc77f4261e4b13009ace21199a76f_medium.jpeg","gallery":"bdc77f4261e4b13009ace21199a76f_gallery.jpeg","big_gallery":"bdc77f4261e4b13009ace21199a76f_big_gallery.jpeg","original":"bdc77f4261e4b13009ace21199a76f.jpg"},{"tiny":"507bfaf8f8c40fc380bffb12a70001_tiny.jpeg","jumbo":"507bfaf8f8c40fc380bffb12a70001_jumbo.jpeg","small":"507bfaf8f8c40fc380bffb12a70001_small.jpeg","thumb":"507bfaf8f8c40fc380bffb12a70001_thumb.jpeg","medium":"507bfaf8f8c40fc380bffb12a70001_medium.jpeg","gallery":"507bfaf8f8c40fc380bffb12a70001_gallery.jpeg","big_gallery":"507bfaf8f8c40fc380bffb12a70001_big_gallery.jpeg","original":"507bfaf8f8c40fc380bffb12a70001.jpg"},{"tiny":"f7a84452dd127a4f572d48293589ac_tiny.jpeg","jumbo":"f7a84452dd127a4f572d48293589ac_jumbo.jpeg","small":"f7a84452dd127a4f572d48293589ac_small.jpeg","thumb":"f7a84452dd127a4f572d48293589ac_thumb.jpeg","medium":"f7a84452dd127a4f572d48293589ac_medium.jpeg","gallery":"f7a84452dd127a4f572d48293589ac_gallery.jpeg","big_gallery":"f7a84452dd127a4f572d48293589ac_big_gallery.jpeg","original":"f7a84452dd127a4f572d48293589ac.jpg"},{"tiny":"3a931ac2467352df1f9d53430294e6_tiny.jpeg","jumbo":"3a931ac2467352df1f9d53430294e6_jumbo.jpeg","small":"3a931ac2467352df1f9d53430294e6_small.jpeg","thumb":"3a931ac2467352df1f9d53430294e6_thumb.jpeg","medium":"3a931ac2467352df1f9d53430294e6_medium.jpeg","gallery":"3a931ac2467352df1f9d53430294e6_gallery.jpeg","big_gallery":"3a931ac2467352df1f9d53430294e6_big_gallery.jpeg","original":"3a931ac2467352df1f9d53430294e6.jpg"},{"tiny":"9021de8d30c5bdd28aecb535219104_tiny.jpeg","jumbo":"9021de8d30c5bdd28aecb535219104_jumbo.jpeg","small":"9021de8d30c5bdd28aecb535219104_small.jpeg","thumb":"9021de8d30c5bdd28aecb535219104_thumb.jpeg","medium":"9021de8d30c5bdd28aecb535219104_medium.jpeg","gallery":"9021de8d30c5bdd28aecb535219104_gallery.jpeg","big_gallery":"9021de8d30c5bdd28aecb535219104_big_gallery.jpeg","original":"9021de8d30c5bdd28aecb535219104.jpg"},{"tiny":"20fc3f84490f6962cfb7fd5e9091dc_tiny.jpeg","jumbo":"20fc3f84490f6962cfb7fd5e9091dc_jumbo.jpeg","small":"20fc3f84490f6962cfb7fd5e9091dc_small.jpeg","thumb":"20fc3f84490f6962cfb7fd5e9091dc_thumb.jpeg","medium":"20fc3f84490f6962cfb7fd5e9091dc_medium.jpeg","gallery":"20fc3f84490f6962cfb7fd5e9091dc_gallery.jpeg","big_gallery":"20fc3f84490f6962cfb7fd5e9091dc_big_gallery.jpeg","original":"20fc3f84490f6962cfb7fd5e9091dc.jpg"},{"tiny":"46c5278269b599e0c7582e77064ba9_tiny.jpeg","jumbo":"46c5278269b599e0c7582e77064ba9_jumbo.jpeg","small":"46c5278269b599e0c7582e77064ba9_small.jpeg","thumb":"46c5278269b599e0c7582e77064ba9_thumb.jpeg","medium":"46c5278269b599e0c7582e77064ba9_medium.jpeg","gallery":"46c5278269b599e0c7582e77064ba9_gallery.jpeg","big_gallery":"46c5278269b599e0c7582e77064ba9_big_gallery.jpeg","original":"46c5278269b599e0c7582e77064ba9.jpg"},{"tiny":"e02a5952c9f5c8771298e6d23c79de_tiny.jpeg","jumbo":"e02a5952c9f5c8771298e6d23c79de_jumbo.jpeg","small":"e02a5952c9f5c8771298e6d23c79de_small.jpeg","thumb":"e02a5952c9f5c8771298e6d23c79de_thumb.jpeg","medium":"e02a5952c9f5c8771298e6d23c79de_medium.jpeg","gallery":"e02a5952c9f5c8771298e6d23c79de_gallery.jpeg","big_gallery":"e02a5952c9f5c8771298e6d23c79de_big_gallery.jpeg","original":"e02a5952c9f5c8771298e6d23c79de.jpg"},{"tiny":"c3eba1d2c87e6e1ecf6030565b6cf0_tiny.jpeg","jumbo":"c3eba1d2c87e6e1ecf6030565b6cf0_jumbo.jpeg","small":"c3eba1d2c87e6e1ecf6030565b6cf0_small.jpeg","thumb":"c3eba1d2c87e6e1ecf6030565b6cf0_thumb.jpeg","medium":"c3eba1d2c87e6e1ecf6030565b6cf0_medium.jpeg","gallery":"c3eba1d2c87e6e1ecf6030565b6cf0_gallery.jpeg","big_gallery":"c3eba1d2c87e6e1ecf6030565b6cf0_big_gallery.jpeg","original":"c3eba1d2c87e6e1ecf6030565b6cf0.jpg"},{"tiny":"e7ba4ec61f91e636f55be3b620f41e_tiny.jpeg","jumbo":"e7ba4ec61f91e636f55be3b620f41e_jumbo.jpeg","small":"e7ba4ec61f91e636f55be3b620f41e_small.jpeg","thumb":"e7ba4ec61f91e636f55be3b620f41e_thumb.jpeg","medium":"e7ba4ec61f91e636f55be3b620f41e_medium.jpeg","gallery":"e7ba4ec61f91e636f55be3b620f41e_gallery.jpeg","big_gallery":"e7ba4ec61f91e636f55be3b620f41e_big_gallery.jpeg","original":"e7ba4ec61f91e636f55be3b620f41e.jpg"},{"tiny":"56e338328e359c4386deb5bf06c318_tiny.jpeg","jumbo":"56e338328e359c4386deb5bf06c318_jumbo.jpeg","small":"56e338328e359c4386deb5bf06c318_small.jpeg","thumb":"56e338328e359c4386deb5bf06c318_thumb.jpeg","medium":"56e338328e359c4386deb5bf06c318_medium.jpeg","gallery":"56e338328e359c4386deb5bf06c318_gallery.jpeg","big_gallery":"56e338328e359c4386deb5bf06c318_big_gallery.jpeg","original":"56e338328e359c4386deb5bf06c318.jpg"},{"tiny":"f145d1bc0a91f27eb359f1df5b75eb_tiny.jpeg","jumbo":"f145d1bc0a91f27eb359f1df5b75eb_jumbo.jpeg","small":"f145d1bc0a91f27eb359f1df5b75eb_small.jpeg","thumb":"f145d1bc0a91f27eb359f1df5b75eb_thumb.jpeg","medium":"f145d1bc0a91f27eb359f1df5b75eb_medium.jpeg","gallery":"f145d1bc0a91f27eb359f1df5b75eb_gallery.jpeg","big_gallery":"f145d1bc0a91f27eb359f1df5b75eb_big_gallery.jpeg","original":"f145d1bc0a91f27eb359f1df5b75eb.jpg"},{"tiny":"29cb4842ac6c3a00b0f23815682a21_tiny.jpeg","jumbo":"29cb4842ac6c3a00b0f23815682a21_jumbo.jpeg","small":"29cb4842ac6c3a00b0f23815682a21_small.jpeg","thumb":"29cb4842ac6c3a00b0f23815682a21_thumb.jpeg","medium":"29cb4842ac6c3a00b0f23815682a21_medium.jpeg","gallery":"29cb4842ac6c3a00b0f23815682a21_gallery.jpeg","big_gallery":"29cb4842ac6c3a00b0f23815682a21_big_gallery.jpeg","original":"29cb4842ac6c3a00b0f23815682a21.jpg"},{"tiny":"48be30e125074806cbbb0f4cc62ed6_tiny.jpeg","jumbo":"48be30e125074806cbbb0f4cc62ed6_jumbo.jpeg","small":"48be30e125074806cbbb0f4cc62ed6_small.jpeg","thumb":"48be30e125074806cbbb0f4cc62ed6_thumb.jpeg","medium":"48be30e125074806cbbb0f4cc62ed6_medium.jpeg","gallery":"48be30e125074806cbbb0f4cc62ed6_gallery.jpeg","big_gallery":"48be30e125074806cbbb0f4cc62ed6_big_gallery.jpeg","original":"48be30e125074806cbbb0f4cc62ed6.jpg"},{"tiny":"4a01298aa760982a2bf0c02c568a48_tiny.jpeg","jumbo":"4a01298aa760982a2bf0c02c568a48_jumbo.jpeg","small":"4a01298aa760982a2bf0c02c568a48_small.jpeg","thumb":"4a01298aa760982a2bf0c02c568a48_thumb.jpeg","medium":"4a01298aa760982a2bf0c02c568a48_medium.jpeg","gallery":"4a01298aa760982a2bf0c02c568a48_gallery.jpeg","big_gallery":"4a01298aa760982a2bf0c02c568a48_big_gallery.jpeg","original":"4a01298aa760982a2bf0c02c568a48.jpg"},{"tiny":"27e09927f10ede694084581e855e84_tiny.jpeg","jumbo":"27e09927f10ede694084581e855e84_jumbo.jpeg","small":"27e09927f10ede694084581e855e84_small.jpeg","thumb":"27e09927f10ede694084581e855e84_thumb.jpeg","medium":"27e09927f10ede694084581e855e84_medium.jpeg","gallery":"27e09927f10ede694084581e855e84_gallery.jpeg","big_gallery":"27e09927f10ede694084581e855e84_big_gallery.jpeg","original":"27e09927f10ede694084581e855e84.jpg"},{"tiny":"7155fbfb9d32c84ecd780ef8c53331_tiny.jpeg","jumbo":"7155fbfb9d32c84ecd780ef8c53331_jumbo.jpeg","small":"7155fbfb9d32c84ecd780ef8c53331_small.jpeg","thumb":"7155fbfb9d32c84ecd780ef8c53331_thumb.jpeg","medium":"7155fbfb9d32c84ecd780ef8c53331_medium.jpeg","gallery":"7155fbfb9d32c84ecd780ef8c53331_gallery.jpeg","big_gallery":"7155fbfb9d32c84ecd780ef8c53331_big_gallery.jpeg","original":"7155fbfb9d32c84ecd780ef8c53331.jpg"},{"tiny":"1ec29f0ee2b1e28d4fbf979dc6dbd5_tiny.jpeg","jumbo":"1ec29f0ee2b1e28d4fbf979dc6dbd5_jumbo.jpeg","small":"1ec29f0ee2b1e28d4fbf979dc6dbd5_small.jpeg","thumb":"1ec29f0ee2b1e28d4fbf979dc6dbd5_thumb.jpeg","medium":"1ec29f0ee2b1e28d4fbf979dc6dbd5_medium.jpeg","gallery":"1ec29f0ee2b1e28d4fbf979dc6dbd5_gallery.jpeg","big_gallery":"1ec29f0ee2b1e28d4fbf979dc6dbd5_big_gallery.jpeg","original":"1ec29f0ee2b1e28d4fbf979dc6dbd5.jpg"},{"tiny":"93c47d5d1de01133a9d9fe85616da7_tiny.jpeg","jumbo":"93c47d5d1de01133a9d9fe85616da7_jumbo.jpeg","small":"93c47d5d1de01133a9d9fe85616da7_small.jpeg","thumb":"93c47d5d1de01133a9d9fe85616da7_thumb.jpeg","medium":"93c47d5d1de01133a9d9fe85616da7_medium.jpeg","gallery":"93c47d5d1de01133a9d9fe85616da7_gallery.jpeg","big_gallery":"93c47d5d1de01133a9d9fe85616da7_big_gallery.jpeg","original":"93c47d5d1de01133a9d9fe85616da7.jpg"},{"tiny":"5ff9fbd3ec834a0c537b04e35b948d_tiny.jpeg","jumbo":"5ff9fbd3ec834a0c537b04e35b948d_jumbo.jpeg","small":"5ff9fbd3ec834a0c537b04e35b948d_small.jpeg","thumb":"5ff9fbd3ec834a0c537b04e35b948d_thumb.jpeg","medium":"5ff9fbd3ec834a0c537b04e35b948d_medium.jpeg","gallery":"5ff9fbd3ec834a0c537b04e35b948d_gallery.jpeg","big_gallery":"5ff9fbd3ec834a0c537b04e35b948d_big_gallery.jpeg","original":"5ff9fbd3ec834a0c537b04e35b948d.jpg"},{"tiny":"166001772e31db7e7e0428af83dcc9_tiny.jpeg","jumbo":"166001772e31db7e7e0428af83dcc9_jumbo.jpeg","small":"166001772e31db7e7e0428af83dcc9_small.jpeg","thumb":"166001772e31db7e7e0428af83dcc9_thumb.jpeg","medium":"166001772e31db7e7e0428af83dcc9_medium.jpeg","gallery":"166001772e31db7e7e0428af83dcc9_gallery.jpeg","big_gallery":"166001772e31db7e7e0428af83dcc9_big_gallery.jpeg","original":"166001772e31db7e7e0428af83dcc9.jpg"}]},"perspective":"Axial","specifics":"bone window"},{"id":29400913,"content_type":"image/jpeg","frames":[{"id":29400909,"width":630,"height":630},{"id":29400910},{"id":29400911},{"id":29400912},{"id":29400913,"current":true},{"id":29400914},{"id":29400915},{"id":29400916},{"id":29400917},{"id":29400918},{"id":29400919},{"id":29400920},{"id":29400921},{"id":29400922}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"71ee4dbc5b0b09ae61a87e1d2b9c58_tiny.jpeg","jumbo":"71ee4dbc5b0b09ae61a87e1d2b9c58_jumbo.jpeg","small":"71ee4dbc5b0b09ae61a87e1d2b9c58_small.jpeg","thumb":"71ee4dbc5b0b09ae61a87e1d2b9c58_thumb.jpeg","medium":"71ee4dbc5b0b09ae61a87e1d2b9c58_medium.jpeg","gallery":"71ee4dbc5b0b09ae61a87e1d2b9c58_gallery.jpeg","big_gallery":"71ee4dbc5b0b09ae61a87e1d2b9c58_big_gallery.jpeg","original":"71ee4dbc5b0b09ae61a87e1d2b9c58.jpg"},{"tiny":"b26d3f505f3c29e2b0089caaf4b7f5_tiny.jpeg","jumbo":"b26d3f505f3c29e2b0089caaf4b7f5_jumbo.jpeg","small":"b26d3f505f3c29e2b0089caaf4b7f5_small.jpeg","thumb":"b26d3f505f3c29e2b0089caaf4b7f5_thumb.jpeg","medium":"b26d3f505f3c29e2b0089caaf4b7f5_medium.jpeg","gallery":"b26d3f505f3c29e2b0089caaf4b7f5_gallery.jpeg","big_gallery":"b26d3f505f3c29e2b0089caaf4b7f5_big_gallery.jpeg","original":"b26d3f505f3c29e2b0089caaf4b7f5.jpg"},{"tiny":"f4519ec4dc10667cfe6a1882ef9c5c_tiny.jpeg","jumbo":"f4519ec4dc10667cfe6a1882ef9c5c_jumbo.jpeg","small":"f4519ec4dc10667cfe6a1882ef9c5c_small.jpeg","thumb":"f4519ec4dc10667cfe6a1882ef9c5c_thumb.jpeg","medium":"f4519ec4dc10667cfe6a1882ef9c5c_medium.jpeg","gallery":"f4519ec4dc10667cfe6a1882ef9c5c_gallery.jpeg","big_gallery":"f4519ec4dc10667cfe6a1882ef9c5c_big_gallery.jpeg","original":"f4519ec4dc10667cfe6a1882ef9c5c.jpg"},{"tiny":"19d2fdcfb78f3ea2b57646c885aed1_tiny.jpeg","jumbo":"19d2fdcfb78f3ea2b57646c885aed1_jumbo.jpeg","small":"19d2fdcfb78f3ea2b57646c885aed1_small.jpeg","thumb":"19d2fdcfb78f3ea2b57646c885aed1_thumb.jpeg","medium":"19d2fdcfb78f3ea2b57646c885aed1_medium.jpeg","gallery":"19d2fdcfb78f3ea2b57646c885aed1_gallery.jpeg","big_gallery":"19d2fdcfb78f3ea2b57646c885aed1_big_gallery.jpeg","original":"19d2fdcfb78f3ea2b57646c885aed1.jpg"},{"tiny":"7da215d1dec482e8ded60d3e81a357_tiny.jpeg","jumbo":"7da215d1dec482e8ded60d3e81a357_jumbo.jpeg","small":"7da215d1dec482e8ded60d3e81a357_small.jpeg","thumb":"7da215d1dec482e8ded60d3e81a357_thumb.jpeg","medium":"7da215d1dec482e8ded60d3e81a357_medium.jpeg","gallery":"7da215d1dec482e8ded60d3e81a357_gallery.jpeg","big_gallery":"7da215d1dec482e8ded60d3e81a357_big_gallery.jpeg","original":"7da215d1dec482e8ded60d3e81a357.jpg"},{"tiny":"78c39fb9f641278cacaa6754c2d630_tiny.jpeg","jumbo":"78c39fb9f641278cacaa6754c2d630_jumbo.jpeg","small":"78c39fb9f641278cacaa6754c2d630_small.jpeg","thumb":"78c39fb9f641278cacaa6754c2d630_thumb.jpeg","medium":"78c39fb9f641278cacaa6754c2d630_medium.jpeg","gallery":"78c39fb9f641278cacaa6754c2d630_gallery.jpeg","big_gallery":"78c39fb9f641278cacaa6754c2d630_big_gallery.jpeg","original":"78c39fb9f641278cacaa6754c2d630.jpg"},{"tiny":"12357fd0770a9e98d5d83a8ceccbbf_tiny.jpeg","jumbo":"12357fd0770a9e98d5d83a8ceccbbf_jumbo.jpeg","small":"12357fd0770a9e98d5d83a8ceccbbf_small.jpeg","thumb":"12357fd0770a9e98d5d83a8ceccbbf_thumb.jpeg","medium":"12357fd0770a9e98d5d83a8ceccbbf_medium.jpeg","gallery":"12357fd0770a9e98d5d83a8ceccbbf_gallery.jpeg","big_gallery":"12357fd0770a9e98d5d83a8ceccbbf_big_gallery.jpeg","original":"12357fd0770a9e98d5d83a8ceccbbf.jpg"},{"tiny":"704f201a44fce5a97b5401ecfb0113_tiny.jpeg","jumbo":"704f201a44fce5a97b5401ecfb0113_jumbo.jpeg","small":"704f201a44fce5a97b5401ecfb0113_small.jpeg","thumb":"704f201a44fce5a97b5401ecfb0113_thumb.jpeg","medium":"704f201a44fce5a97b5401ecfb0113_medium.jpeg","gallery":"704f201a44fce5a97b5401ecfb0113_gallery.jpeg","big_gallery":"704f201a44fce5a97b5401ecfb0113_big_gallery.jpeg","original":"704f201a44fce5a97b5401ecfb0113.jpg"},{"tiny":"15a096a74a33c0a27675298f17babe_tiny.jpeg","jumbo":"15a096a74a33c0a27675298f17babe_jumbo.jpeg","small":"15a096a74a33c0a27675298f17babe_small.jpeg","thumb":"15a096a74a33c0a27675298f17babe_thumb.jpeg","medium":"15a096a74a33c0a27675298f17babe_medium.jpeg","gallery":"15a096a74a33c0a27675298f17babe_gallery.jpeg","big_gallery":"15a096a74a33c0a27675298f17babe_big_gallery.jpeg","original":"15a096a74a33c0a27675298f17babe.jpg"},{"tiny":"fb92b3a51d9d000e91b2937afe12fe_tiny.jpeg","jumbo":"fb92b3a51d9d000e91b2937afe12fe_jumbo.jpeg","small":"fb92b3a51d9d000e91b2937afe12fe_small.jpeg","thumb":"fb92b3a51d9d000e91b2937afe12fe_thumb.jpeg","medium":"fb92b3a51d9d000e91b2937afe12fe_medium.jpeg","gallery":"fb92b3a51d9d000e91b2937afe12fe_gallery.jpeg","big_gallery":"fb92b3a51d9d000e91b2937afe12fe_big_gallery.jpeg","original":"fb92b3a51d9d000e91b2937afe12fe.jpg"},{"tiny":"1c6dcd8eec616507bde039e0655944_tiny.jpeg","jumbo":"1c6dcd8eec616507bde039e0655944_jumbo.jpeg","small":"1c6dcd8eec616507bde039e0655944_small.jpeg","thumb":"1c6dcd8eec616507bde039e0655944_thumb.jpeg","medium":"1c6dcd8eec616507bde039e0655944_medium.jpeg","gallery":"1c6dcd8eec616507bde039e0655944_gallery.jpeg","big_gallery":"1c6dcd8eec616507bde039e0655944_big_gallery.jpeg","original":"1c6dcd8eec616507bde039e0655944.jpg"},{"tiny":"eae75d2a38cc848ea769f5480498b5_tiny.jpeg","jumbo":"eae75d2a38cc848ea769f5480498b5_jumbo.jpeg","small":"eae75d2a38cc848ea769f5480498b5_small.jpeg","thumb":"eae75d2a38cc848ea769f5480498b5_thumb.jpeg","medium":"eae75d2a38cc848ea769f5480498b5_medium.jpeg","gallery":"eae75d2a38cc848ea769f5480498b5_gallery.jpeg","big_gallery":"eae75d2a38cc848ea769f5480498b5_big_gallery.jpeg","original":"eae75d2a38cc848ea769f5480498b5.jpg"},{"tiny":"6256270628624085f685f08385cf8c_tiny.jpeg","jumbo":"6256270628624085f685f08385cf8c_jumbo.jpeg","small":"6256270628624085f685f08385cf8c_small.jpeg","thumb":"6256270628624085f685f08385cf8c_thumb.jpeg","medium":"6256270628624085f685f08385cf8c_medium.jpeg","gallery":"6256270628624085f685f08385cf8c_gallery.jpeg","big_gallery":"6256270628624085f685f08385cf8c_big_gallery.jpeg","original":"6256270628624085f685f08385cf8c.jpg"},{"tiny":"7d686f395dba8dc60ec1751ae5415e_tiny.jpeg","jumbo":"7d686f395dba8dc60ec1751ae5415e_jumbo.jpeg","small":"7d686f395dba8dc60ec1751ae5415e_small.jpeg","thumb":"7d686f395dba8dc60ec1751ae5415e_thumb.jpeg","medium":"7d686f395dba8dc60ec1751ae5415e_medium.jpeg","gallery":"7d686f395dba8dc60ec1751ae5415e_gallery.jpeg","big_gallery":"7d686f395dba8dc60ec1751ae5415e_big_gallery.jpeg","original":"7d686f395dba8dc60ec1751ae5415e.jpg"}]},"perspective":"Coronal","specifics":"bone window"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"drabdrabou","case_id":52220,"case_key_image_id":29400913,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
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.
Unable to process the form. Check for errors and try again.