Kienbock disease

Case contributed by Dinesh Brand , 17 Apr 2018
Diagnosis almost certain
Changed by Mark Thurston, 17 Apr 2018

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Diagnostic Certainty was set to .
Presentation was changed:
Pain in the medial wrist for investigation following a FOOSH injury 1 day ago.fall on an outstretched hand
Age changed from 78 to 80 years.
Body was changed:

Keinbock'sKienböck disease is another name for avascular necrosis, characterised by fragmentation and collapse of the lunate carpal bone as seen in this case. It is most likely related to a previous trauma component of the wrist in the which the lunate's blood supply is interrupted resulting in subsequent avascular necrosis and thethis classic radiographic appearance. 

  • -<p>Keinbock's disease is another name for avascular necrosis, fragmentation and collapse of the lunate carpal bone as seen in this case. It is most likely related to a previous trauma component of the wrist in the which the lunate's blood supply is interrupted resulting in subsequent avascular necrosis and the classic radiographic appearance. </p>
  • +<p>Kienböck disease is another name for avascular necrosis, characterised by fragmentation and collapse of the lunate carpal bone as seen in this case. It is most likely related to a previous trauma component of the wrist in the which the lunate blood supply is interrupted resulting in subsequent avascular necrosis and this classic radiographic appearance. </p>

Updates to Study Attributes

Findings was changed:

There is evidence of sclerosis and flattening of the lunate. Fragmentation of the lunate is seen with bony fragmentation. Osteonecrosis is highly suggestive of the Lunate suggesting Keinbocklunate avascular necrosis, known as Kienböck disease. This was long-standing in this case.

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