Arthroscopy-assisted treatment of scaphoid and lunate cysts: Clinical evaluation of 7 cases

Arthroscopic Bone Graft for Intraosseous Lunate Bone Ganglion

“…Ashwood and Bain 11 and Bain et al 6 proposed direct drilling of the lunate, either dorsal or volar, under fluoroscopic control (respectively 8 and 10 cases); Bhatia 18 suggested a similar direct "cystoscopy" through cartilage drilling (1 case), along with Cerlier et al, 7 who also performed direct transosseous approach on the articular side of the lunate, the location of the cyst beforehand specified on CT (4 cases). Rimokh et al 17 recently reported a comparable method (7 cases). Curettage and bone grafting (harvested from either distal radius or iliac crest) are performed as standard steps by all authors.…”

“…Studies have reported satisfactory outcomes, with very low recurrence rate and good functional results. 6,7,11,[17][18][19] Several arthroscopic techniques have been reported for ILBG approach and treatment. Ashwood and Bain 11 and Bain et al 6 proposed direct drilling of the lunate, either dorsal or volar, under fluoroscopic control (respectively 8 and 10 cases); Bhatia 18 suggested a similar direct "cystoscopy" through cartilage drilling (1 case), along with Cerlier et al, 7 who also performed direct transosseous approach on the articular side of the lunate, the location of the cyst beforehand specified on CT (4 cases).…”

“…The rest of the procedure is straightforward: curettage and bone grafting (from distal radius using a Jamshidi trocar; BD, Franklin Lakes, NJ) are performed through this specific approach, similarly to other techniques. 17 Wrist arthroscopy is not without risks, and it demands strong experience and mastery before achieving it safely. 23 It also requires logistics and is not the most cost-effective solution for ILBG treatment.…”