A pathological fracture of the scaphoid revealing an intraosseous ganglion cyst

Scaphoid Cysts: Literature Review of Etiology, Treatment, and Prognosis

“…5 The use of a vascularized bone graft may also be particularly beneficial in treating cystic lesions with an associated pathological fracture. 13,30 Finally, postoperative immobilization of the wrist is essential, as noted in this review for a mean of 5 weeks, to allow for complete resolution of symptoms.…”

“…Following appraisal of the articles' (n = 147) full text, the second screen identified 27 articles, published between 1984 and 2016, reporting on a total of 38 patients that met the inclusion criteria ( Figure 1). 1,3,[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]25,26,[28][29][30]33,34,[36][37][38] Among the 38 patients (14 male, 24 female), 3 had bilateral cystic lesions, for a total of 41 scaphoid cystic lesions. The findings from each study are summarized in Table 1.…”

“…8,11 Notably, 5 of the 7 patients with poor outcomes after treatment had radiographic evidence of a pathological fracture at the time of diagnosis. 8,9,11,30,38…”