PMC4844492_01
Radiographs of the wrist showing collapsed, sclerotic lunate bone with negative ulnar variance of the wrist.
JOCR-2-11-g001.jpg
PMC4844492_01_JOCR-2-11-g001.jpg
F1
Antero-posterior and lateral radiographs of the wrist showed a collapsed and sclerotic lunate bone with negative ulnar variance of the wrist (Fig. 1).
MRI showing grade 4 Kienbock's disease (progressive carpal collapse and Osteoarthritis).
JOCR-2-11-g002.jpg
PMC4844492_01_JOCR-2-11-g002.jpg
F2
MRI revealed a diagnosis of grade 4 Kienbock's disease (progressive carpal collapse and osteoarthritis) according to the Lichtman et al grading system for Kienbock's disease (Fig. 2).
Clinical photograph showing lunate bone exposed
JOCR-2-11-g003.jpg
PMC4844492_01_JOCR-2-11-g003.jpg
F3
The muscle belly along with the tendon was coiled and placed into the void created by the excision of lunate (Fig. 3A & B).
Clinical photograph showing excision of lunate bone
JOCR-2-11-g004.jpg
PMC4844492_01_JOCR-2-11-g004.jpg
F4
The radiograph at final follow-up [9 months post surgery] showed no carpal collapse (Fig. 4A). Palmar flexion and dorsiflexion at final follow up were 25  each (Fig. 4C & D).