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Intraosseous Ganglion Cyst of Scaphoid treated by Curettage and Bone Grafting: Case report and Review

INTRODUCTION: Intraosseous ganglions, although share same pathology as the soft tissue ganglions are rare entities, further rare in carpals. Cases of intraosseous ganglions are reported in literature mostly in lower limbs and lunate among carpals, with treatment options ranging from curettage and gr...

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Detalles Bibliográficos
Autores principales: Jain, Saurabh, Jain, Anil Kumar, Dhammi, Ish Kumar, Mishra, Puneet, Modi, Prasant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701108/
Descripción
Sumario:INTRODUCTION: Intraosseous ganglions, although share same pathology as the soft tissue ganglions are rare entities, further rare in carpals. Cases of intraosseous ganglions are reported in literature mostly in lower limbs and lunate among carpals, with treatment options ranging from curettage and grafting to calcium phosphate cement injection and finally to arthroscopic treatment. CASE REPORT: Here, we present a case of 2 years follow up of 40 years old female with nonspecific clinical finding of wrist and slight limitation of restriction of motion, diagnosed as intraosseous ganglion cyst of scaphoid. This case was treated with curettage and bone grafting having excellent results with visual and analog pain scores reduced from 68 to 11 and range of motion was 90° extension to 80° flexion and full grip strength. CONCLUSION: Intraosseous ganglion cyst should be considered in differential diagnosis of chronic dull wrist pain because they produce disabling symptoms which ceases once adequately treated by curettage and bone grafting.