Journal of Hand Surgery
Volume 30, Issue 1 , Pages 59-64, January 2005

Spontaneous wrist fusion: An unusual complication of Kienböck’s disease

  • Jeffrey E. Budoff, MD

      Affiliations

    • Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX
    • Department of Orthopaedic Surgery, Houston VAMC, Houston, TX.
    • Corresponding Author InformationReprint requests: Jeffrey E. Budoff, MD, 6550 Fannin, #2500, Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX 77030
    • ,
  • David M. Lichtman, MD

      Affiliations

    • Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX

Received 5 February 2004; accepted 22 September 2004.

We report a case of spontaneous wrist fusion occurring in a patient with magnetic resonance image (MRI)-proven stage 1 Kienböck’s disease. The purpose of this case report is to make hand surgeons aware of this potential finding and to alert hand surgeons and radiologists that diffuse MRI changes of the lunate may not necessarily be pathognomonic for Kienböck’s disease.

Key words:  Autofusion , avascular necrosis , carpus , radial shortening , spontaneous fusion , ankylosis , lunate , Kienböck’s disease

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PII: S0363-5023(04)00742-7

doi:10.1016/j.jhsa.2004.09.003

Journal of Hand Surgery
Volume 30, Issue 1 , Pages 59-64, January 2005

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