Kienbock disease and volar intercalated segmental instability

{"study":{"id":12851,"case_slug":"kienbock-disease-and-volar-intercalated-segmental-instability-1","modality":"X-ray","series":[{"id":628862,"content_type":"image/png","frames":[{"id":628862,"width":871,"height":1600,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"b3036bdb595dc5439ba2af21390692a887e74c52a6a21f5bc6505fcbc479e60b_tiny.jpeg","jumbo":"b3036bdb595dc5439ba2af21390692a887e74c52a6a21f5bc6505fcbc479e60b_jumbo.jpeg","small":"b3036bdb595dc5439ba2af21390692a887e74c52a6a21f5bc6505fcbc479e60b_small.jpeg","thumb":"b3036bdb595dc5439ba2af21390692a887e74c52a6a21f5bc6505fcbc479e60b_thumb.jpeg","medium":"b3036bdb595dc5439ba2af21390692a887e74c52a6a21f5bc6505fcbc479e60b_medium.jpeg","gallery":"b3036bdb595dc5439ba2af21390692a887e74c52a6a21f5bc6505fcbc479e60b_gallery.jpeg","big_gallery":"b3036bdb595dc5439ba2af21390692a887e74c52a6a21f5bc6505fcbc479e60b_big_gallery.jpeg","original":"b3036bdb595dc5439ba2af21390692a887e74c52a6a21f5bc6505fcbc479e60b.png"}]},"perspective":"Frontal","specifics":null},{"id":60511144,"content_type":"image/png","frames":[{"id":60511144,"width":472,"height":1024,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"804c365b72964ce357bdda113db0dc2ecbf5fb1d320c9fa2dd7af3548f175502_tiny.jpeg","jumbo":"804c365b72964ce357bdda113db0dc2ecbf5fb1d320c9fa2dd7af3548f175502_jumbo.jpeg","small":"804c365b72964ce357bdda113db0dc2ecbf5fb1d320c9fa2dd7af3548f175502_small.jpeg","thumb":"804c365b72964ce357bdda113db0dc2ecbf5fb1d320c9fa2dd7af3548f175502_thumb.jpeg","medium":"804c365b72964ce357bdda113db0dc2ecbf5fb1d320c9fa2dd7af3548f175502_medium.jpeg","gallery":"804c365b72964ce357bdda113db0dc2ecbf5fb1d320c9fa2dd7af3548f175502_gallery.jpeg","big_gallery":"804c365b72964ce357bdda113db0dc2ecbf5fb1d320c9fa2dd7af3548f175502_big_gallery.jpeg","original":"804c365b72964ce357bdda113db0dc2ecbf5fb1d320c9fa2dd7af3548f175502.png"}]},"perspective":"Oblique","specifics":null},{"id":628861,"content_type":"image/jpeg","frames":[{"id":628861,"width":1600,"height":1600,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"82668ec99ed952bddbc237b62e9e7c_tiny.jpg","jumbo":"82668ec99ed952bddbc237b62e9e7c_jumbo.jpg","small":"82668ec99ed952bddbc237b62e9e7c_small.jpg","thumb":"82668ec99ed952bddbc237b62e9e7c_thumb.jpg","medium":"82668ec99ed952bddbc237b62e9e7c_medium.jpg","gallery":"82668ec99ed952bddbc237b62e9e7c_gallery.jpg","big_gallery":"82668ec99ed952bddbc237b62e9e7c_big_gallery.jpg","original":"82668ec99ed952bddbc237b62e9e7c.jpg"}]},"perspective":"Lateral","specifics":null}],"caption":{"us":"Wrist","gb":"Wrist"},"findings":{"us":"\u003cp\u003eX-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.\u003c/p\u003e","gb":"\u003cp\u003eX-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.\u003c/p\u003e"},"contributor_login":"frank","case_id":12673,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false}}