Kienböck disease with negative ulnar variance

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Wrist pain for the past 3 months. No clear history of trauma.

Patient Data

Age: 40 years
Gender: Male

The lunate is flattened, deformed and sclerotic, accompanied by radiocarpal degenerative changes as joint space narrowing and subchondral sclerosis.

Negative ulnar variance is also present.

Case Discussion

Findings are compatible with Kienböck disease, a type of osteonecrosis involving the lunate, and there is a significant association between negative ulnar variance and Kienbock disease.

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