Kienböck's disease in an elderly patient treated with proximal row carpectomy.

Kienböck's disease most often occurs in the dominant hand of young men with a history of manual labor. We report an atypical presentation of stage III Kienböck's disease in the nondominant hand of a 70-year-old woman. The patient was managed successfully by proximal row carpectomy. The risk factors and cause of Kienböck's disease in the elderly may differ from those in the typical younger population. The detection of Kienböck's disease in the elderly and the use of proximal row carpectomy in advanced cases is emphasized.