Kienbock's disease: Case report and review of the literature

Kienbock's disease: Case report and review of the literature

Kienböck’s disease is a rare form of avascular necrosis affecting the lunate bone, typically seen in young adults and often resulting in chronic wrist pain and functional impairment. We present a case-based review of 3 young adults (2 males aged 20 and 30 years, and 1 female aged 28) with progressiv...

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Main Authors: Soukaina Beyyato, MD, Hajar Slaoui, MD, Hajar Ouazzani, PhD, Ismail Chaouche, PhD, Amal Akammar, PhD, Nizar El Bouardi, PhD, Meriem Haloua, PhD, Moulay Youssef Alaoui Lamrani, PhD, Meryem Boubbou, PhD, Mustapha Maaroufi, PhD, Badreeddine Alami, PhD
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Radiology Case Reports
Subjects:
Kienböck’s disease
Lunate bone
Osteonecrosis
Wrist pain
Magnetic resonance imaging
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325006120
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Summary:Kienböck’s disease is a rare form of avascular necrosis affecting the lunate bone, typically seen in young adults and often resulting in chronic wrist pain and functional impairment. We present a case-based review of 3 young adults (2 males aged 20 and 30 years, and 1 female aged 28) with progressive dorsal wrist pain, reduced grip strength, and limited range of motion. Imaging revealed advanced lunate osteonecrosis, with Lichtman staging ranging from stage IIIa to IV. MRI and CT played a central role in diagnosis and treatment planning. Management varied according to disease stage, from conservative immobilization to surgical intervention. This report highlights the importance of early diagnosis, accurate staging, and tailored treatment strategies based on clinical presentation and surgical expertise.
ISSN:1930-0433

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