Kienbock disease and volar intercalated segmental instability

Case contributed by Frank Gaillard
Diagnosis almost certain


Wrist pain and swelling

Patient Data

Age: 65 years
Gender: Male

X-ray shows cortical irregularity and internal lucencies of the lunate, suggestive of lunatomalacia (Kienbock disease) with resultant volar intercalated segment instability (VISI) and secondary osteoarthritic changes of the radiocarpal joint.

Case Discussion

Radiological features are in keeping of chronic stage lunatomalacia with resultant volar intercalated segment instability (VISI) and secondary osteoarthritic changes.

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