Kienbock disease

Case contributed by Dr Ahmed Abd Rabou

Presentation

Chronic wrist pain and no history of trauma

Patient Data

Age: 17 years old
Gender: Male
Modality: CT

The lunate bone appears collapsed, sclerosed and with air locules seen inside. There is no significant rotation or abnormal distance with the scaphoid. The rest of carpal bones are unremarkable and no evidence of osteoarthritis. Negative ulnar variance is noted.

Case Discussion

Findings are suggestive of Kienbock disease stage IIIa. Kienbock disease is a sort of avascular necrosis of the lunate carpal bone and associated with negative ulnar variance.

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Case Information

rID: 52220
Case created: 28th Mar 2017
Last edited: 29th Mar 2017
Inclusion in quiz mode: Included

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