Initial plain radiograph demonstrated ulnar shortening and ulnar deviation Case Photo #1, Case Photo #2 one month after pain onset. MRI of the right wrist ten months later showed diffuse edema of the lunate consistent with avascular necrosis, volar soft tissue edema and a shortened ulna with normal carpal alignment Case Photo #3,Case Photo #4, Case Photo #5. Repeat plain radiographs at three month follow up Case Photo #6, Case Photo #7 showed sclerotic change and radiolucency in the central lunate consistent with lunate osteonecrosis, Lichtman stage IIIA.
Hand orthopedic surgeon at the Medical College of Virginia
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