Intraosseous ganglion cyst of scaphoid and lunate: A case report

Dr. Ketan Khatri; Dr. Gajanan Kathar

Volume : VIII, Issue : X, October - 2019

Intraosseous ganglion cyst of scaphoid and lunate: A case report

Dr. Ketan Khatri, Dr. Gajanan Kathar

Abstract :

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.