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 Kienbock's disease
Kienbock’s disease



Kienbock’s disease


( pressure / compression / crushing type of Osteochondritis of Lunate )

It is usually associated with Negative Ulnar Variance – leads to stretching of Ulnolunate ligament towards Lunate – increased density of Lunate on XRay –¬†fragmentation – collapse – sclerosis

Investigation of choice – MRI

Treatment – Ulnar lengthening / Radial Shortening Procedures with vascularised muscle pedicle grafting of Pronator Quadratus

By Dr. Tushar Mehta


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