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Occult scapholunate ganglion in patients with dorsoradial wrist pain

Year 2007, Volume: 41 Issue: 5, 349 - 354, 02.01.2008

Abstract

Objectives: The aim of this study was to assess the results of surgical treatment of patients who had complaints of chronic wrist pain and were diagnosed as having an occult dorsal scapholunate interosseous ganglion, despite the presence of a normal x-ray and absence of trauma.
Methods: Thirteen wrists of 12 patients (2 males, 10 females; mean age 28 years; range 21 to 41 years) were treated with surgical excision for ganglia originating from the dorsal scapholunate interosseous ligament. Involvement was on the right side in six patients, and on the left in five patients, with one patient having bilateral involvement. None of the patients had a history of trauma, except two with a history of fall. All the patients had complaints of wrist pain that occurred during work and subsided at rest. The mean duration of wrist pain was 23 months (range 6 to 60 months). All the patients received conservative treatment previously with wrist splints and non-steroidal anti-inflammatory drugs. Finger extension test was positive and magnetic resonance imaging of the wrist showed ganglion in all the patients. Functional results were evaluated by the Mayo Clinic wrist pain assessment scores after a mean follow-up of 35 months (range 25 to 49 months).
Results: Complaints of wrist pain improved dramatically in all the patients. Scores of the Mayo Clinic wrist pain assessment were excellent in seven patients (53.9%), good in five patients (38.5%), and moderate in one patient (7.7%). All the patients returned to work without any limitation of wrist movements. No recurrences were seen during the follow-up period.
Conclusion: Occult ganglia originating from the scapholunate ligament should be remembered in patients with dorsal scapholunate joint tenderness and pain unresponsive to conservative treatment and with a positive finger extension test.

Dorsoradial el bileği ağrısı olan olgularda gizli skafolunat gangliyon

Year 2007, Volume: 41 Issue: 5, 349 - 354, 02.01.2008

Abstract

Amaç: El bileği dorsoradialinde kronik ağrı yakınması olan, ancak travma öyküsü olmayan ve grafileri normal olan hastalarda gizli dorsal skafolunat interosseöz gangliyon tanısıyla uygulanan cerrahi tedavi sonuçları değerlendirildi.
Çalışma planı: El bileği dorsalinde skafolunat interosseöz bağdan kaynaklanan gizli gangliyon nedeniyle 12 hastanın (2 erkek, 10 kadın; ort. yaş 28; dağılım 21-41) 13 el bileğine cerrahi tedavi uygulandı. Altı hastada sağ, beş hastada sol el bileği etkilenmişti. Bir olguda ise iki taraflı tutulum vardı. Düşme öyküsü olan iki olgu dışında, hiçbir olguda travma öyküsü yoktu. Olgularda el bileğinde iş yaparken ortaya çıkan ve dinlenmeyle kaybolan ağrı yakınması vardı. Yakınma süresi ortalama 23 ay (dağılım 6-60 ay) idi. Tüm hastalar daha önce el bileği ateli ve steroid olmayan antienflamatuvar ilaç kullanmışlardı. Parmak ekstansiyon testi tüm hastalarda pozitifti. Hastaların tamamında manyetik rezonans görüntülemede gangliyon izlendi. Ortalama takip süresi 35 ay (dağılım 25-49 ay) olan hastalarda fonksiyonel değerlendirmeler Mayo Kliniği modifiye el bileği değerlendirme ölçütlerine göre yapıldı.
Sonuçlar: Hastaların el bilek ağrıları belirgin bir şekilde ortadan kalktı. Mayo Kliniği modifiye el bileği değerlendirme ölçütlerine göre, yedi el bileğinde (%53.9) mükemmel, beş el bileğinde (%38.5) iyi, bir el bileğinde (%7.7) orta sonuç elde edildi. El bilek hareketlerinde kısıtlılık olmayan olguların tamamı eski iş ve uğraşlarına döndüler. Hiçbir olguda nüks gelişmedi.
Çıkarımlar: El bileği dorsalinde konservatif tedaviye yanıt vermeyen ağrı, dorsal skafolunat eklem hassasiyeti ve parmak ekstansiyon testinin pozitif olduğu hastalarda, skafolunat bağdan kaynaklanan gizli gangliyon ön planda düşünülmelidir.

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Details

Primary Language English
Journal Section Original Article
Authors

Kahraman Ozturk This is me

Cem Esenyel This is me

Bilal Demir This is me

M. Sonmez This is me

Ayhan Kara This is me

Publication Date January 2, 2008
Published in Issue Year 2007 Volume: 41 Issue: 5

Cite

APA Ozturk, K., Esenyel, C., Demir, B., Sonmez, M., et al. (2008). Occult scapholunate ganglion in patients with dorsoradial wrist pain. Acta Orthopaedica Et Traumatologica Turcica, 41(5), 349-354. https://doi.org/10.3944/aott.v41i5.2729
AMA Ozturk K, Esenyel C, Demir B, Sonmez M, Kara A. Occult scapholunate ganglion in patients with dorsoradial wrist pain. Acta Orthopaedica et Traumatologica Turcica. January 2008;41(5):349-354. doi:10.3944/aott.v41i5.2729
Chicago Ozturk, Kahraman, Cem Esenyel, Bilal Demir, M. Sonmez, and Ayhan Kara. “Occult Scapholunate Ganglion in Patients With Dorsoradial Wrist Pain”. Acta Orthopaedica Et Traumatologica Turcica 41, no. 5 (January 2008): 349-54. https://doi.org/10.3944/aott.v41i5.2729.
EndNote Ozturk K, Esenyel C, Demir B, Sonmez M, Kara A (January 1, 2008) Occult scapholunate ganglion in patients with dorsoradial wrist pain. Acta Orthopaedica et Traumatologica Turcica 41 5 349–354.
IEEE K. Ozturk, C. Esenyel, B. Demir, M. Sonmez, and A. Kara, “Occult scapholunate ganglion in patients with dorsoradial wrist pain”, Acta Orthopaedica et Traumatologica Turcica, vol. 41, no. 5, pp. 349–354, 2008, doi: 10.3944/aott.v41i5.2729.
ISNAD Ozturk, Kahraman et al. “Occult Scapholunate Ganglion in Patients With Dorsoradial Wrist Pain”. Acta Orthopaedica et Traumatologica Turcica 41/5 (January 2008), 349-354. https://doi.org/10.3944/aott.v41i5.2729.
JAMA Ozturk K, Esenyel C, Demir B, Sonmez M, Kara A. Occult scapholunate ganglion in patients with dorsoradial wrist pain. Acta Orthopaedica et Traumatologica Turcica. 2008;41:349–354.
MLA Ozturk, Kahraman et al. “Occult Scapholunate Ganglion in Patients With Dorsoradial Wrist Pain”. Acta Orthopaedica Et Traumatologica Turcica, vol. 41, no. 5, 2008, pp. 349-54, doi:10.3944/aott.v41i5.2729.
Vancouver Ozturk K, Esenyel C, Demir B, Sonmez M, Kara A. Occult scapholunate ganglion in patients with dorsoradial wrist pain. Acta Orthopaedica et Traumatologica Turcica. 2008;41(5):349-54.