case_images: PMC4844492_01
case_images: Radiographs of the wrist showing collapsed, sclerotic lunate bone with negative ulnar variance of the wrist.
case_images: JOCR-2-11-g001.jpg
case_images: PMC4844492_01_JOCR-2-11-g001.jpg
case_images: F1
case_images: Antero-posterior and lateral radiographs of the wrist showed a collapsed and sclerotic lunate bone with negative ulnar variance of the wrist (Fig. 1).
case_images: MRI showing grade 4 Kienbock's disease (progressive carpal collapse and Osteoarthritis).
case_images: JOCR-2-11-g002.jpg
case_images: PMC4844492_01_JOCR-2-11-g002.jpg
case_images: F2
case_images: 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).
case_images: Clinical photograph showing lunate bone exposed
case_images: JOCR-2-11-g003.jpg
case_images: PMC4844492_01_JOCR-2-11-g003.jpg
case_images: F3
case_images: The muscle belly along with the tendon was coiled and placed into the void created by the excision of lunate (Fig. 3A & B).
case_images: Clinical photograph showing excision of lunate bone
case_images: JOCR-2-11-g004.jpg
case_images: PMC4844492_01_JOCR-2-11-g004.jpg
case_images: F4
case_images: 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).