Kienböck disease

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Atraumatic wrist pain.

Patient Data

Age: 35 years
Gender: Male
x-ray

Deformity and sclerosis of the lunate bone is present. There is also slightly negative ulnar variance.

x-ray

Same patient after radial shortening to correct negative ulnar variance.

Case Discussion

Deformity and sclerosis of the lunate bone is compatible with Kienbock disease which is a type of the avascular necrosis.There is a significant association between negative ulnar variance and Kienbock disease, although the majority of people with negative ulnar variance do not have the condition.

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