Beyyato Soukaina, Slaoui Hajar, Ouazzani Hajar, Chaouche Ismail, Akammar Amal, El Bouardi Nizar, Haloua Meriem, Lamrani Moulay Youssef Alaoui, Boubbou Meryem, Maaroufi Mustapha, Alami Badreeddine
Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fes, Morocco.
Department of Radiology Mother and Child and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fes, Morocco.
Radiol Case Rep. 2025 Jul 19;20(10):5046-5050. doi: 10.1016/j.radcr.2025.06.066. eCollection 2025 Oct.
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.
月骨无菌性坏死是一种罕见的缺血性坏死形式，累及月骨，常见于年轻人，常导致慢性腕部疼痛和功能障碍。我们对3例年轻成人（2名男性，年龄分别为20岁和30岁，1名女性，年龄为28岁）进行了基于病例的回顾，这些患者均有进行性腕背疼痛、握力下降和活动范围受限。影像学检查显示月骨晚期骨坏死，Lichtman分期为IIIa期至IV期。MRI和CT在诊断和治疗规划中发挥了核心作用。治疗方法根据疾病阶段而异，从保守固定到手术干预。本报告强调了早期诊断、准确分期以及根据临床表现和手术专业知识制定个性化治疗策略的重要性。
