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Intraosseous ganglion cyst of the scaphoid with an extraosseous component –an uncommon cause of volar wrist pain: case report and literature review


Authors: D. Ira 1;  B. Čechová 2;  M. Krtička 1;  J. Kovařík 1
Authors‘ workplace: Klinika úrazové chirurgie Fakultní nemocnice Brno a Lékařská fakulta Masarykovy uninversity, Brno, Česká republika 1;  Klinika radiologie a nukleární medicíny, Fakultní nemocnice Brno a Lékařská fakulta Masarykovy uninversity, Brno, Česká republika 2
Published in: Rozhl. Chir., 2024, roč. 103, č. 5, s. 193-198.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2024.103.5.193–198

Overview

Intraosseous ganglion is a relatively rare cause of chronic wrist pain. The ganglion is most commonly found in the os lunatum and os scaphoideum and in many cases includes an extraosseous component, both of which can be a source of clinical difficulty. In our case report, we present a patient with atypical chronic volar wrist pain who was diagnosed to have an intraosseous ganglion of the os scaphoideum with a volar extraosseous component as the main source of her problems. The patient had both components of the ganglion removed and the defect in the os scaphoideum was filled with an autogenous cancellous bone graft resulting in resolution of the clinical complaints and elimination of the risk of os scaphoideum fracture. The diagnostic and therapeutic considerations in patients found to have an intraosseous ganglion of the wrist with an extraosseous component are described and discussed in relation to the relevant literature.

Keywords:

ganglion cyst – scapholunate ligament – scaphoid – wrist pain


Sources
  1. Osagie L, Gallivan S, Wickham N, et al. Intraosseous ganglion cysts of the carpus: current practice. Hand (N Y). 2015;10(4):598–601. doi:10.1007/s11552-015-9750-2. Epub 2015 Feb 11.
  2. Schajowicz F, Clavel Sainz M, Slullitel JA. Juxta-articular bone cysts (intra-o-sseous ganglia): a clinicopathological study of eighty-eight cases. J Bone Joint Surg Br. 1979;61(1):107–116. doi:10. 1302/0301-620X.61B1.422629.
  3. Uriburu IJ, Levy VD. Intraosseous ganglia of the scaphoid and lunate bones: report of 15 cases in 13 patients. J Hand Surg Am.1999;24(3):508–515. doi:10.1053/jhsu. 1999.0508.
  4. Van den Dungen S, Marchesi S, Ezzedine R, et al. Relationship between dorsal ganglion cysts of the wrist and intraosseous ganglion cysts of the carpal bones. Acta Orthop Belg. 2005;71(5):535–539.
  1. Zoller SD, Benner NR, Iannuzzi NP. Ganglions in the hand and wrist: Advances in 2 decades. J Am Acad Orthop Surg. 2023;31(2):e58–e67. doi:10.5435/JAAOS-D-22-00105.
  2. Paparo F, Fabbro E, Piccazzo R, et al. Multimodality imaging of intraosseous ganglia of the wrist and their differential diagnosis. Radiol Med. 2012;117(8):1355–1373. doi:10.1007/s11547-012-0875-x. Epub 2012 Sep 17.
  3. Kovařík J, Dráč P. Symptomatické intraoseální ganglion os trapezium – kazuistika a přehled literatury. Acta Chir Orthop Traumatol Cech. 2016;83(4):279–282.
  4. Cerlier A Jr, Gay AM, Levadoux M. Arthroscopic treatment of intraosseous ganglion cyst of the lunate bone. Arthrosc Tech. 2015;4(5):e513–518. doi:10.1016/ j.eats.2015.05.011.
  5. Lui TH. Endoscopic ganglionectomy of the volar radial wrist ganglion. Arthrosc Tech. 2017;6(5):e1477–e1480. doi:10.1016/j.eats.2017.06.001.
  6. Rimokh J, Najjari H, Rotari V, et al. Arthroscopy-assisted treatment of scaphoid and lunate cysts: Clinical evaluation of 7 cases. Hand Surg Rehabil. 2018;37(6):358–362. doi:10.1016/j.hansur.2018.08.004. Epub 2018 Sep 14.
  7. Magee TH, Rowedder AM, Degnan GG. Intraosseus ganglia of the wrist. Radiology 1995;195(2):517–520. doi:10.1148/radiology.195.2.7724776.
  8. Chen YC, Wang SJ, Shen PH, et al. Intraosseous ganglion cyst of the capitate treated by intralesional curettage, autogenous bone marrow graft and autogenous fibrin clot graft. J Chin Med Assoc. 2007;70(5):222–226. doi:10.1016/S1726-4901(09)70363-6.
  9. Štouračová A, Šprláková-Puková A, Čižmář I, et al. MR vyšetření skafolunátního vazu ve vysokém rozlišení s použitím mikroskopické cívky: srovnání s přímou MR artrografií a artroskopickými nálezy. Acta Chir Orthop Traumatol Cech. 2016;83(5):327–331.
  10. Yakoubi M, Meziani N, Yahia Cherif M, et al. Pathological fracture of the carpal scaphoid (intra-osseous synovial cyst). Clinical and therapeutic aspect. Case report. Chir Main. 2009;28(1):37–41. doi:10.1016/j. main.2008.11.007. Epub 2008 Dec 17.
  11. Dias J, Buch K. Palmar wrist ganglion: does intervention improve outcome? A prospective study of the natural history and patient-reported treatment outcomes. J Hand Surg Br. 2003;28(2):172–176. doi:10.1016/s0266-7681(02)00365-0.
  12. Crawford C, Keswani A, Lovy AJ, et al. Arthroscopic versus open excision of dorsal ganglion cysts: a systematic review. J Hand Surg Eur Vol. 2018;43(6):659–664. doi:10.1177/1753193417734428. Epub 2017 Oct 12.

MUDr. Daniel Ira
Klinikaúrazové chirurgie, LF MU a FN Brno
Jihlavská 20
62500 Brno
e-mail:
Ira.Daniel@fnbrno.cz

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