Cyst-like lesions of the lunate resembling Kienböck's disease: A case report

Oka, Y.; Umeda, Kanta; Ikeda, Masayoshi

doi:10.1053/jhsu.2001.20154

Cited by 7 publications

(2 citation statements)

References 6 publications

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“…They may require early curettage and bone grafting for healing. Early treatment has its' definitive benefits as it prevents collapse and degenerative changes as in our case [8]. …”

Section: Discussionmentioning

confidence: 99%

Unicameral bone cyst of the lunate in an adult: case report

Gundes

Şahin

Alıcı

2010

Journal of Orthopaedic Surgery and Research

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We report a case of a symptomatic unicameral (simple) bone cyst of the lunate in a 42-year- old woman. The lesion was treated with curettage and cancellous autogenous iliac bone grafting. At five years of follow-up the wrist was pain free, there were no limitations of motion, and the radiographs showed complete obliteration of the cavity. To the best of our knowledge, no other unicameral bone cyst of the lunate has been reported in an adult. Cysts with significant cavities at the carpal bones in an adult should be approached cautiously, as they may require early curettage and bone grafting for healing, before collapse and degenerative changes occur.

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“…They may require early curettage and bone grafting for healing. Early treatment has its' definitive benefits as it prevents collapse and degenerative changes as in our case [8]. …”

Section: Discussionmentioning

confidence: 99%

Unicameral bone cyst of the lunate in an adult: case report

Gundes

Şahin

Alıcı

2010

Journal of Orthopaedic Surgery and Research

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“…Most of these ganglia are asymptomatic; however, complications such as lunate wall perforation or fracture can occur and result in a mild to severe handicap of the wrist and these represent an ideal indication for ILBG arthroscopic bone grafting [6,7]. Differential diagnoses include Kienböck's disease, osteolytic bone tumors, and sometimes ulnar abutment syndrome with lunate cortical defect [4,8,9] On the other hand, lunate defects secondary to ulnar impaction syndrome should not be treated with ILBG and a wafer procedure or ulna shortening osteotomy should be performed. This technique is also contraindicated in Kienböck's disease, and it is preferable to consider vascularized bone graft such as the Kuhlmann-Mathoulin technique.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

Arthroscopic Bone Graft for Lunate Ganglion

Merlini¹,

Mathoulin²

2021

Arthroscopy and Endoscopy of the Elbow, Wrist and Hand

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Intraosseous lunate bone ganglia (ILBG) are known to be a cause of chronic wrist pain and disability, most often after collapse of a ganglion wall in the scapholunate joint. Standard treatment consists of curettage and autologous bone grafting. Open procedures have shown good results with few recurrences, but with frequent stiffness or persistent pain. Arthroscopic techniques are more recent and have begun to prove themselves very reliable, with studies reporting satisfactory functional and radiological results after arthroscopic bone grafting for intraosseous lunate bone ganglia [1-3].

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