Salvaging Procedure for Stage IIIB Kienböck Disease in a 19-Year-Old Man, a Case Report and Review

A 19-year-old man presented with symptomatic stage IIIB Kienböck disease. He underwent salvaging proximal row carpectomy for sclerotic lunate, carpal collapse, scaphoid volar tilting, and osteoarthritis. He had a resolution of pain and functional improvement. To our knowledge, salvaging procedure of late-stage Kienböck disease at this age is rare and this article can provide insight into the surgical management and prognosis of patients with similar diagnoses. This case highlights the importance of early clinical suspicion, prompt use of advanced imaging, and awareness of Kienböck disease to avoid delays in diagnosis and prevent progression to late-stage disease, where treatment options are limited.