Osteonecrosis of the lunate

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

6 week history of wrist pain

Patient Data

Age: Adult
x-ray

Sclerosis and loss of height of lunate

Case Discussion

There is diffuse sclerosis and some flattening of the lunate in association with slight negative ulnar variance. Findings are consistent with avascular necrosis of the lunate (Kienbock disease). 

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