20. I recently had a bone scan done to determine whether or not a bone cyst in my scaphoid bone is bad enough to operate on. There is a broad transcortical connection on the palmar side. Ann Plast Surg 34:215-7,1995. Helwig U, Lang S, Baczynski M, Windhager R: The intraosseous ganglion: a clinical pathological report on 42 cases. Galasko CS. Intraosseous ganglion cyst is a rare bone tumor and the lesion could often be missed. An intraosseous ganglion (plural: ganglia) is a benign subchondral radiolucent lesion without degenerative arthritis. Jahss M. Disorders of the foot. Apropos of a case [in French]. RESULTS: Of these 17 patients, intraosseous ganglion cysts were diagnosed in 15. 21. Treatment is conservative at an early stage and becomes surgical in case of cortical erosion or increase in size of the cyst with persistent pain. The diagnosis could be delayed so proper radiologic investigation and index of suspicion is necessary .Differential diagnoses of painful cystic radiolucent carpal lesion are osteoid osteoma, osteoblastoma and intraosseous ganglion. Subchondral bone cysts can happen with any type of arthritis, so rheumatoid arthritis can also cause it. Scaphoid intraosseous cystic lesions represent a rare subset of carpal bone cysts. Chantelot C, Laffargue P, Masmejean E, Peltier B, Barouk P, Fontaine C. Fracture of the scaphoid carpal bone secondary to an intraosseous cyst. Ach Orthop Trauma Surg 114:14-7,1994. This article documents the outcome of treatment of intraosseous ganglia and simple bone cysts of the carpal bones by curettage and injectable calcium phosphate bone cement (CPC) grafting. One had a cystic lesion in the scaphoid, one in the hamate, and five in the lunate. In the oblique-sagittal CT scan, the cystic lesion takes up a large portion of the internal structure of the scaphoid, which appears in danger of fracturing. Fealy MJ, Lineaweaver W: Intraosseous ganglion cyst of the scaphoid. When sacs of fluid form inside an individual's joints, it is known as a subchondral bone cyst. At that time, the xray showed and intraosseous ganglion of the scaphoid bone. Ganglion cysts have been recognized for centuries; Hippocrates described them as being composed of “mucoid flesh.” 9 They are more common than synovial cysts and arise from tendon sheaths, ligaments, menisci, joint capsules, and bursae. The patients consisted of five men and three women. 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. Epidemiology Tends to occur in middle age. Osteoarthritis and rheumatoid arthritis can lead to the development of these cysts… 19. It was found in 2003, when i had an episode of extreme wrist pain and presented myself to the doctor about it. Kligman M, Roffman M: Bilateral intraosseous ganglia of the scaphoid and lunate bones. Clinical presentation Patients may have mild localized pain. Chir Main 1998;17:255–8. Some of these ganglia were occult on conventional radiographs and were detected only at bone scanning and MR imaging. The doctor Fig. Fig. 43.4 Large intraosseous ganglion cyst in the scaphoid. Philadelphia: WB Saunders; 1982:996–7. 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