The main complications are joint stiffness and vascular disturbances of the lunate bone. Other treatment options may include injection of bone marrow or steroids into the cyst to assist the healing process. ((1) Large irregular “cyst” with proximal defect in the lunate. Intraosseous ganglion cysts are rare causes of wrist pain. Arthroscopic Treatment of Intraosseous Ganglion Cyst of the Lunate Bone. Wrist arthroscopy is a surgical technique that reduces the intra-articular operative area and therefore minimizes postoperative stiffness. The lesion was treated with curettage and cancellous autogenous iliac bone grafting. Localization of the cyst is particularly important with this technique, as the cyst may be volar or dorsal. Figure 2. Arthroscopic treatment has been proposed as an alternative for lunate cysts. 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. 2014; 17(11): 763 – 766. (A) Frontal view showing that the cyst is on the scaphoid side of the lunate and is communi-cating with the articulation. Typical dorsal capsular ganglion cyst (arrow), lobulated and positioned adjacent to the dorsal component of the scapholunate ligament, from which it arises (S=scaphoid, L=lunate). 6. l‘omography of (a) and (1)) cavities in ulnar portion, and (c) dorsal cavity. Treatment Prehospital care includes assessment for … An intraarticular radiocarpal and midcarpal assessment was performed first to eliminate other causes that may explain the symptomatology. The distal row, going in the same direction, consists of the trapezium, trapezoid, capitate and hamate. }, author={A. Cerlier and Andr{\'e}-Mathieu Gay and M. Levadoux}, journal={Arthroscopy techniques}, year={2015}, volume={4 5}, pages={ e513-8 } } Then, resection of the arthrosynovial cyst was performed using a 2.5-mm shaver (2.5-mm arthroscopic shaver blade; Stryker Formula Aggressive Cutter) (Fig 5).On the basis of the computed tomography (CT) scan information, we were able to locate the intraosseous ganglion cyst of the lunate bone. Background . Since then all I have had is pain in my wrist which moves all the way up my arm to my shoulder. Materials and Methods . It feels like someone is squeezing my bone in my wrist .My consultant did more x-rays It found I had a cyst in my lunate bone. Computed tomography scans of the wrist of a 63-year-old man with an intraosseous ganglion cyst of the lunate bone. Cysts of the hand and wrist represent 60% of hand masses [1, 2].Their annual incidence is estimated to be 0.025% and 0.043% in men and women, respectively [].They are encountered in young adults, especially between 20 and 40 years old, but have been reported in patients between 3 and 89 years old [1, 3-6].There is a 2:1 female predominance. ganglion cyst of the lunate bone. Although there are many ligaments and injuries in the wrist, a scapholunate ligament tear is the most commonly injured. We report a case of a symptomatic unicameral (simple) bone cyst of the lunate in a 42-year- old woman. This case report illustrates an unusual presentation of a cyst in the lunate with successful treatment. In fact, Subchondral Bone Cyst is one of the parameters that physicians look at when diagnosing osteoarthritis. They can present as chronic wrist pain accompanied by a radiolucent lytic lesion in the lunate bone. Fig 2. Surgical treatment of this pathologic condition yields good results and a low recurrence rate. Author information: (1)Department of Surgery and Trauma, Royal Adelaide Hospital, University of Adelaide, Adelaide, Australia. Standard of care includes curettage and bone grafting with minimal recurrence reported. Cases of a serious nature will require surgery to remove cysts. It is often referred to as lunatomalacia. Kienböck disease is the eponymous name given to osteonecrosis involving the lunate. They most often occur at the back of the wrist, followed by the front of the wrist. Infected cysts may require further treatment. MRI of left wrist, T1 and T2 weighted images showing radial sided intraosseous ganglion cyst of the lunate. Ashwood N(1), Bain GI. If unsuccessful, wrist arthroscopy surgery may be considered. PurposeIntraosseous ganglion cyst (IGC) is a rare disease, particularly in lunate.
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