Understanding MRI results

[Savanna416]

I was told that I may possibly have Kienbock's disease.  MRI has stated this


4mm of erosion within the radial aspect of the lunate
may be a tear of the mid portion of the scapholunate liagament - volar and dorsal fibers appear intact
deformity and increased signal throughout the triangular fibrocartilage may representa tear near the meniscal homologue

5mm of ulnar minus variance

[Savanna416]

what does the increased signal mean?  Dies the ulnar variance mean surgery for sure?>  In your opinion, does this MRI look like Kienbock's?  And if it was your patient would you recomend surgery?

[Dr Vinod]

Hello!

There is some damage to the carpal bone in the wrist called lunate. The lunate bone attaches with the radius in the wrist joint.

You also have to check if the blood supply is decreased to the lunate bone in the MRI.

Ulnar variance clearly suggests that there is a distance gap of 5mm between your long bones i.e. the ulna and radius of the forearm.
This will cause further decrease in blood supply to your lunate bone.

The orthopedician after examination will be the best person to diagnose it as Kienbock's disease. The lunate might have fractured which you have to check.

Discuss the course of surgery with the orthopedician for the treatment.

Take care!