We report a 72-year-old woman with a type-1 intra-osseous ganglion in the proximal humerus, extending to the bone surface. We conducted a systemic review of intra-osseous ganglion cases in Japan to identify clinical features and pathogenesis of this condition. The anatomical distribution between intra-osseous ganglia without a communicating soft tissue ganglion (type 1) and those with (type 2) is different. The origins of intra-osseous ganglia vary and depend on their anatomical location. They can arise from within the bone or in the adjacent soft tissue, and can progress to a type-2 lesion in either an outside-in or inside-out fashion.
Because acupuncture has a long history of use, especially to relieve pain, both patients and therapists believe that it carries few risks as long as sterile needles are used. However, as shown by previous reports, acupuncture can cause various adverse effects such as hemorrhage, infection, and dizziness. An 81-year-old woman presented with swelling and severe pain in her right hand. The cause of the swelling was unclear although a septic tenosynovitis due to acupuncture was initially suspected. Hemorrhage in the carpal tunnel was found during surgery. Hemorrhage can increase the pressure in the carpal tunnel. Patients taking anticoagulant therapy are more likely to develop hemorrhage or hematoma as a result of acupuncture therapy.
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