Intraosseous Ganglion of the Scaphoid: a Case Report and Review of Published Reports

Lao, Li; Li, Qianyi; Zhong, Guibin; Liu, Zude

doi:10.1111/os.12121

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…The most common surgical treatment of PFS is an intralesional curettage associated with a cancellous autologous bone grafting from the proximal radius metaphysis, as well as an internal fixation with screws or pins. [ 2 – 4 ] In our case, conservative and surgical treatments were both discussed. The main argument for the surgical treatment was that it is supported by scientific literature, even though there is a low level of evidence.…”

Section: Discussionmentioning

confidence: 93%

Conservative treatment of a pathologic fracture of the scaphoid bone in a child

et al. 2018

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Rationale:Tumors of the scaphoid are rare, and some can cause pathological fractures. No cases of pathological fractures of the scaphoid have been reported in children. The most common treatment for pathologic fractures of the scaphoid bone associated with a benign lesion in adults is surgical, with intralesional curettage associated with autologous bone grafting and internal fixation.Patient concerns:A 10-year-old boy presented with wrist pain after falling from his height.Diagnoses:X-ray, CT-scan and MRI showed a pathological undisplaced fracture of the scaphoid on a benign lytic lesion.Interventions:The arm was immobilized in a below-elbow cast.Outcomes:The fracture healed within 4 months of immobilization. 3 years after the fracture, the functional status was normal, and the lytic lesion could not be seen on radiographs.Lessons:Retrospectively, the most probable etiology was a ganglion cyst. Our case suggests that some pathological fractures of the scaphoid may not need surgery, especially not in children.

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Section: Discussionmentioning

confidence: 93%

Conservative treatment of a pathologic fracture of the scaphoid bone in a child

et al. 2018

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“…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.…”

Section: Resultsmentioning

confidence: 99%

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

Safran

Hazan

Al-Halabi

et al. 2018

Hand (New York, N,Y.)

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“…7 Intraosseous ganglion cysts (IGCs), which are histologically similar to their soft tissue counterparts, are rare. They generally occur in the metaphysis or epiphysis of the long bone of the lower extremity, such as the tibia, 13,14 and could be divided into 2 types. The first type (penetrating) is the result of a juxta-osseous ganglion lesion developing a cystic bony defect through intraosseous penetration and is observed in almost 15% of intraosseous ganglia.…”

Section: Introductionmentioning

confidence: 99%

Intraosseous Ganglion Cyst of the Talus Treated With Curettage and Bone Grafting Through a Medial Malleolus Osteotomy

et al. 2022

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Background: Intraosseous ganglion cyst (IGC) of the talus is a rare entity. There is no consensus regarding the best surgical approach to the talus. In this study, we evaluated the outcomes of curettage and bone grafting of the talus IGC via medial malleolus osteotomy. Methods: Seventeen patients with talus IGC who were treated between 2002 and 2020 using curettage and bone grafting through a medial malleolus osteotomy were included. The outcome measures were ankle range of motion (ROM), pain, and function. The ankle pain was evaluated by the visual analog scale (VAS). The ankle function was evaluated by the Toronto extremity salvage score (TESS) and Musculoskeletal Tumor Society (MSTS) score. Results: The study population included 10 men and 7 women with a mean age of 34.9 ± 18.8 years and a mean follow-up of 5.4 ± 3 years. The mean size of the lesion was 2.6 ± 0.8 cm. Postoperatively, mean ankle dorsiflexion and plantar flexion were 19.4 ± 5.8 degrees and 36.7 ± 5.3 degrees, respectively. The mean VAS was 0.9 ± 1.1. The mean MSTS score and TESS were 96.2 ± 3.5 and 94.5 ± 4.1, respectively. Two patients developed ankle osteoarthritis after 3 years (1 stage I and 1 stage II). One of these patients (stage II) also had recurrence after 6 months (recurrence rate: 6.7%). Conclusion: Talus IGC could be adequately managed with curettage and bone grafting through a medial malleolus osteotomy. Even so, mild pain and reduced ankle ROM remain in some patients. Level of Evidence: Level IV, retrospective cohort study.

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Intraosseous Ganglion of the Scaphoid: a Case Report and Review of Published Reports

Cited by 4 publications

References 15 publications

Conservative treatment of a pathologic fracture of the scaphoid bone in a child

Conservative treatment of a pathologic fracture of the scaphoid bone in a child

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

Intraosseous Ganglion Cyst of the Talus Treated With Curettage and Bone Grafting Through a Medial Malleolus Osteotomy

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