All authors read and approved the final. The most frequent complication is pathological fracture, and this is frequently the cause of presentation of the disease. Traditional surgical curettage with autologous bone grafting is the mainstay of treatment with satisfactory outcomes; however, novel surgical techniques like arthroscopically assisted minimally invasive technique or filling with bone cement are considered as more promising attempts with less trauma and shorter recovery period. Diagnosis of intraosseous ganglion was based on the imaging features and clinical presentation. osteoid osteoma, osteoblastoma and intraosseous ganglion. The authors extracted data from the articles selected. Intraosseous ganglion cyst (IGC) is a rare disease, particularly in lunate.The objective of this study was to summarize current knowledge on the treatment of IGC of the lunate, through a literature review, to provide a therapeutic strategy for this rare disease.. Methods . On imaging, plain radiographs of right hand showed expansile lytic lesion on Metaphyseal-diaphyseal region of 4th metacarpal with pathological fracture.

To the best of our knowledge, no other unicameral bone cyst of the lunate has been reported in an adult. Fibrous component of cysts varied from small fibrous septa to well-formed walls. complicated with pathological fracture may be treated with cortical bone Imaging was performed with T1-weighted fast spin-echo, and proton density-weighted fast spin-echo with and without fat-suppression. The included studies needed to have a minimum sample size of 15 patients, and have provided data on radiographic healing outcome. The patients were followed for an average of 10 (1.2-21) years. Curettage and filling with radial bone graft provided a good functional recovery.

Privacy This case report illustrates an unusual presentation of a cyst in the lunate with successful treatment. Although there. Intraosseous cysts of carpal bones are frequently observed on routine imaging examinations of the wrist. Pain was the chief complain in all patients. Chinese Journal of Traumatology (English Edition). Copyright © 1992 Published by Elsevier Ltd. They have characteristic radiographic findings of a cyst with a thin sclerotic rim.

Aneurysmal bone cyst and giant cell tumor of bone have historically been considered benign lesions that can behave in locally aggressive fashion. The Journal of Hand Surgery: British & European Volume, https://doi.org/10.1016/S0266-7681(05)80268-2. (8) How-, ever, conservative management is beneficial when no, cortical erosion or change in size of the cyst is found dur-, ing follow up . The most commonly affected bones are the lunate and scaphoid, followed by the capitate, triquetrum and trapezoid bones. This report summarizes current knowledge regarding these lesions when they occur in the hand and outlines current treatment methods. Plain radiograph and MRI revealed well defined lesion in both scaphoid and lunate bone. 2004, 20: 269-81. third and fourth compartments, parallel to the incision. wrist pain. On histologic examination, there were regions of fat necrosis without inflammation or increased vascularity, surrounded by fibrous walls.

We retrospectively reviewed the medical records, pathologic reports and imaging files of the six patients who were referred and treated due to chronic wrist pain with final diagnosis of the lunate intraosseous ganglion. intraosseous ganglion, lunate, surgical techniques, systematic review, treatment.

The wrist was protected with a well padded splint for two weeks to alleviate the pain and discomfort. ... [1][2][3][4][5][6][7] Rarely ganglion cyst is found in small bones of hand and feet. UBC treatment with flexible intramedullary nails without curettage provided almost 100% healing rate, while continuous decompression with cannulated screws provided 89 % healing rate. There are some very distinct differences in potential aggressiveness and in response to treatment. We describe an arthroscopic approach that can be performed with only 2 portals and offers excellent access for visualization and instrumentation. Isolated cases of ganglion cysts occurring in the, Intraosseous ganglia can affect the carpal bones of the hand and must be considered in, the differential diagnosis of wrist pain. PA radiograph of the right wrist. pathological fracture of left humerus, who underwent extensive curettage of the lesion followed Nine cysts were primary or idiopathic; soft tissue ganglia were found in 6 secondary cases and anatomic continuity of the intraosseous and extraosseous components through cortical defects was present. Although CT scanning shows the bony architec-, ture MRI may better demarcate the tissues surrounding, the bones. been reported in the acromion. Any cyst that is growing and causing pain in the bone requires consultation with an Orthopedic surgeon.

Occurrence of a single symptomatic radiolucent lesion in the lunate is rare [4, 5].

This presentation concerns the findings in 105 tumors or tumor-like lesions in the bones of the carpus.

Article  Grip strength was symmetric. 80% of UBCs occur in the proximal humerus and proximal femur [1, 3]. Pain was, very mild dorsal swelling of the wrist, with tenderness, in all directions.

Intraosseous ganglion (IOG) cysts rarely have been reported in the carpal bones and lunate is the most common area of involvement. A dorsal longitudinal incision of 6 cm was made on the ulnar side of the Lister's tubercle, extending proximally and distally through the skin and subcutaneous tissue. Histologically, the triquetrum consisted of fibrous connective tissue and the lunate consisted of a mixture of bone, cartilage, and fibrous tissue without necrosis. © 2020 BioMed Central Ltd unless otherwise stated. Curettage of the scaphoid lesion and filling of void with bone graft We also briefly review the clinical aspects, imaging findings and treatment options of this condition. The incidence of UBCs involving the wrist bones and lunate has not been clearly defined in the literature [10]. see your lunate, and if it were really sticking out it would be traumatically dislocated and you wouldnt be casually typing questions. 10.1080/17453670902804604. Clin Orthop Relat Res. The incidence of UBCs invol-, ving the wrist bones and lunate has not been clearly, A 42-year-old woman was referred to the hand clinic, with dull pain and discomfort in her right dominant, wrist that had been present for six months. Intraosseous ganglion cyst should be considered in the differential diagnosis of chronic dull wrist pain. Case report: The lesion was treated with curettage and cancellous autogenous iliac bone grafting.

Conservative treatment indicated a healing rate of 64.2, 95 % CI (26.7-101.8). The purpose of this observational study is to evaluate the MRI and histologic features of these cyst‐like lesions in a cohort of clinically sound dogs. Magnetic Resonance (MR) imaging views on coronal fat-suppressed and axial and sagittal T2 weighted sequences have revealed a homogenous hyper-intense cystic lesion in the lunate with smooth and round contours (Figure 3). E-mail: yanhede@hotmail.com. Methods: We performed aspiration which showed serosanguinous fluid with haemorrhagic tinge.

The clinical, radiological and therapeutic aspects are discussed. Curettage was performed by opening a dorsal 3 mm cortical window through the cartilage. For immediate assistance, contact Customer Service: Google Scholar.



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