scholarly journals INTRAOSSEOUS GANGLION CYST OF SCAPHOID AND LUNATE: A CASE REPORT

2019 ◽  
pp. 1-2
Author(s):  
Ketan Khatri

INTRODUCTION:Intraosseous ganglion cyst of carpal bones is an uncommon cause of wrist pain. Although isolated cases of scaphoid and lunate have been reported in literature,intraosseous ganglion cyst in both scaphoid and lunate is rare. CASE REPORT:We report a case of 27 year old female who presented with a 6 month history of progressive left wrist pain. History of trauma was not reported. Conservative treatment with medications was unsuccessful. Examination revealed moderate swelling and tenderness over volar aspect of wrist with terminally painful wrist motions. Plain radiograph and MRI revealed well defined lesion in both scaphoid and lunate bone. Curettage and filling with radial bone graft provided a good functional recovery. CONCLUSION:we propose that early diagnosis of intraosseous ganglion is based on clinical presentation, proper radiologic investigation and index of suspicion can be helpful in the surgical management of intra osseous ganglion cyst in small bones of hand and intraosseous ganglion cyst may be considered as a differential diagnosis for wrist pain

2016 ◽  
Vol 21 (01) ◽  
pp. 109-112 ◽  
Author(s):  
Abhijeet Ashok Salunke ◽  
Saranjeet Singh ◽  
Himanshu Kanani ◽  
Jimmy Chokshi ◽  
G.I. Nambi ◽  
...  

Intraosseous ganglion cyst is a rare bone tumor and the lesion could often be missed. The diagnosis could be delayed so proper radiologic investigation and index of suspicion is necessary .Differential diagnoses of painful cystic radiolucent carpal lesion are osteoid osteoma, osteoblastoma and intraosseous ganglion. Curettage of the scaphoid lesion and filling of void with bone graft provides good functional outcomes. The cyst contains mucoid viscous material without epithelial or synovial lining. We present a case of 30 years old male with intraosseous ganglion cyst of scaphoid which was treated with curettage and bone grafting. Rarely ganglion cyst is found in small bones of hand and should be considered as differential diagnosis of chronic radial wrist pain.


1992 ◽  
Vol 17 (4) ◽  
pp. 429-432 ◽  
Author(s):  
S. THAM ◽  
D. C. R. IRELAND

Intraosseous ganglion cyst of the lunate is an uncommon lesion and cause of wrist pain. Histopathologically it is identical to the common dorsal wrist ganglion and treatment by arthrotomy, curettage of the ganglion and bone graft resulted in clinical improvement in nine patients, six of whom became symptom-free.


2020 ◽  
Author(s):  
Gang Zhao ◽  
Shanchun Tao ◽  
Jingyi Mi ◽  
Qun Yao

Abstract Background: Intraosseous ganglion cysts (IOGs) of the carpal bone are uncommon tumors that may represent rare causes of chronic wrist pain. Arthroscopic resection has been described in isolated symptomatic cases as a feasible technique; however, there is no published study investigating this technique in an unstable wrist. We aimed to study the outcome of arthroscopic lesion resection combined with intercarpal ligament thermal shrinkage for the IGOs in the wrists with occult instability.Methods: Fourteen patients from our hospital database between 2013 and 2015 who had IOGs combined with occult carpal instability were retrospectively reviewed. Diagnosis was exclusively established based on persistent wrist pain and functional limitation before surgery. The IOGs were removed under arthroscope, and bone grafting was performed accordingly dependent on the sizes and locations of the lesion. The lax intercarpal ligaments were tightened by radiofrequency shrinkage. Results were analyzed for demographic data and functional outcomes.Results: At a mean follow-up of 27 months, all patients were satisfied with pain relief and the patients’ grip power improved. The pre- and postoperative range of motion of the affected wrist had no significant difference. Radiologically, cyst recurrence and joint instability development were not observed. The postoperative function of the wrists significantly improved based on the Mayo Wrist Score and Patient-rated Wrist Evaluation score.Conclusions: For IOGs of carpal bones in the wrist with occult instability, arthroscopic treatment, including cyst resection and ligament thermal shrinkage, was an effective way to improve pain and function of the effected wrist.


Author(s):  
Brynn Petras Charron ◽  
Tony Jung

This article presents a previously reported case of a 66-year-old woman with a mass on the volar aspect of her right wrist and a one-month history of right wrist pain. The importance of considering a wide range of causes for carpal tunnel syndrome when assessing a patient with persistent wrist pain and an associated mass is highlighted. The differential diagnosis of space-occupying lesions should include benign and malignant neoplastic etiologies in addition to non-neoplastic etiologies. The clinical features, diagnostic methods, and management options for a patient with carpal tunnel syndrome are presented and key distinctions between conventional and secondary carpal tunnel syndrome are discussed. Lipomas, schwannomas, and synovial sarcomas are discussed to showcase different neoplastic causes that may present as secondary carpal tunnel syndrome with an associated wrist mass as seen in this case.  


2005 ◽  
Vol 54 (6) ◽  
Author(s):  
T Tuzuner ◽  
M Subasi ◽  
M Alper ◽  
H Kara ◽  
Z Orhan

2015 ◽  
Vol 4 (5) ◽  
pp. e513-e518 ◽  
Author(s):  
Alexandre Cerlier ◽  
André-Mathieu Gay ◽  
Michel Levadoux

2018 ◽  
pp. 66-70
Author(s):  
F. D. Nasirova

Causes of spinal pain are extremely varying. Sex composition of patients referring with spinal pain at the age of 16 to 35 was 35% and 65% for males and females, respectively. Peak number of complaints was observed in 30-40 years age group of highest work ability. The followings should be considered as precautions in spinal pain: onset of pain at the age of 20 and after 50, family history of oncologic diseases, walking disorders or dysfunctions of sphincters, numbness in extremities, general malaise and rapid loss of weight, pain at rest and primarily at night, as these conditions may be a warning of underlying serious disease. Selection of algorithm for radiologic investigation is decided by the treating physician.


2020 ◽  
Vol 28 (2) ◽  
pp. 230949902092231
Author(s):  
Ryo Sasaki ◽  
Koichi Yano ◽  
Yasunori Kaneshiro ◽  
Seungho Hyun ◽  
Hideki Sakanaka

Stenosing tenosynovitis of the extensor digiti minimi (EDM) without trauma is very rare. We report a 21-year-old woman who presented with dorsoulnar wrist pain during palmar wrist flexion and soft tissue mass at the site of pain. Ultrasonography and magnetic resonance imaging showed a round mass radial to the EDM tendon. Conservative treatment for 3 months failed to improve the patient’s pain levels. Intraoperative findings revealed smaller radial slip of the EDM tendon, and bifurcation of these was under the distal portion of the extensor retinaculum (ER). Surgical release of the ER, resection of the smaller slip of the EDM tendon, and tenosynovectomy were performed. Histological examination showed tenosynovitis. At the final follow-up 1 year postoperatively, she was asymptomatic. A literature review suggested that stenosing tenosynovitis of the EDM tendon might be caused by frequent use of the hand with a background history of bifurcation of the EDM tendon.


2013 ◽  
Vol 23 (1) ◽  
pp. 49-52
Author(s):  
Mert Kumbaracı ◽  
Ahmet Kaya ◽  
Levent Karapınar ◽  
Ahmet Savran

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