J Korean Radiol Soc.  1996 Dec;35(6):977-981.

MR Imaging Findings of Kienboeck's Disease

• Lee KW
• Kang HS
• Yeon KM

Abstract

PURPOSE
To evaluate the MR imaging findings and gadolinium enhancing patterns of Kienboeck's disease.
MATERIALS AND METHODS
Thirteen patients with Kienb ck's disease were included in this study. T1 and T2 or T2*weighted images(WI) were taken in all patients and gadolinium enhancement was performed in six patients. We compared MR signal intensity of lunates with that of normal bone marrow. MR imaging findings and stages accordingto Lichtman's classification were correlateds and we evaluated the enhancing patterns of the lunates and synovia.
RESULTS
Stage II was found in five patients, stage III in seven, and stage IV in one. T1WIs showed low or focaliso signal intensity in all patients. T2WI showed low signal intensity in three patients and focal iso or focal high signal intensity in ten. There were no significant correlations between the signal intensity of lunates and stages. Synovial enhancement was detected in five patients. In four, the areas of focal iso or high signal intensity on T2WI were the enhanced areas of lunates.
CONCLUSION
Kienb ck's disease showed low signal intensityon T1WI in all patients and variable signal intensity on T2WI. There was no significant correlation between MRsignal intensity and Lichtman's stage. Synovia and the areas of focal iso or high signal intensity on T2WI were frequently enhanced.

Keyword

Hand, MR; Bones; Necrosis

MeSH Terms

Bone Marrow
Classification
Gadolinium
Humans
Magnetic Resonance Imaging*
Necrosis
Osteonecrosis*
Synovial Fluid
Gadolinium