Therapeutic effect of bone cement injection in the treatment of intraosseous ganglion of the carpal bones

Abstract

Abstract. The aim of the present study was to treat intraosseous ganglia of the carpal bones with injectable bone cement grafting. Between January 2012 and December 2013, 4 patients (3 men and 1 woman) presenting with wrist pain and activity limitation were diagnosed with intraosseous ganglion of the carpal bones by radiography. The patients were treated with minimal invasive curettage and bone cement injection surgery. All patients were followed up for a mean time of 17 months (range, 12-22 months). The wrist pain was significantly reduced in all patients following surgery. In addition, the activity range and grip strength were also improved compared with the preoperative parameters. Subsequent to treatment, the Mayo wrist score and the Disabilities of the Arm, Shoulder and Hand score presented mean values of 78.8 (range, 75-80) and 11 (range, 7.7-15.0), respectively. These results suggested that the patients showed a good recovery. All patients were satisfied with the postoperative results and returned to work within 4 weeks. In conclusion, bone cement injection is an effective and safe therapeutic strategy for the treatment of intraosseous ganglia of the carpal bone.

Outcomes of Surgical Management of Intraosseous Ganglia of the Carpal Bones: A Case Series

“…Ninety percent of patients reported little or no pain after surgery. This is consistent with most contemporary literature that demonstrates good-to-excellent pain relief after surgical debridement 4,6,9,13-22 and may indicate that decompression of the cyst is enough to relieve the pain.…”

Multiple Intraosseous Cysts of the Carpal Bones Presenting as Unilateral Carpal Tunnel Syndrome

“…A study by Yu et al suggest the use of bone cement injection as an alternative to autogenous bone grafting. Although the study suggests that the method is effective and safe, one limitation is the risk of bone cement leakage into the wrist joint in case of disruption of the cortex [ 2 ].…”

“…Intraosseous ganglion cysts (IGC) of the carpal bones have long been reported in literature [ 1 ]. They are benign, non-neoplastic, and mucin-filled lesions [ 2 ] that develop within a bone, with or without communication with an adjacent joint [ 3 ]. Although they have been described as the most frequent bone lesions occurring in the carpus [ 4 ], mainly in the scaphoid or the lunate [ 5 ], only one case has reported the simultaneous presence of cysts in more than two carpal bones of the same wrist to date [ 6 ].…”