The use of coronal computed tomography in the evaluation of Kienbock's disease

In a prospective study of 12 consecutive patients with Kienbock's disease, direct coronal CT of the wrist was more sensitive than plain films and plain film tomography in demonstrating structural change including sclerosis, compression and fractures of the lunate. Fractures are more common in Kienbock's disease than previously reported. Earlier detection of fractures by CT, before collapse of the lunate occurs, may allow treatment to prevent the collapse.