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https://hdl.handle.net/2440/6805
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Type: | Journal article |
Title: | Arthroscopically assisted treatment of intraosseous ganglions of the lunate: A new technique |
Author: | Ashwood, N. Bain, G. |
Citation: | Journal of Hand Surgery (American Volume), 2003; 28(1):62-68 |
Publisher: | W B Saunders Co |
Issue Date: | 2003 |
ISSN: | 0363-5023 1531-6564 |
Abstract: | Purpose: A minimally invasive technique of debridement and grafting the intraosseous ganglions of the lunate was investigated. Materials and Methods: Eight patients with persistent symptoms and typical radiographic and bone scan findings were assessed independently pre- and postoperatively by using a modified Green and O'Brien wrist score. The intraosseous cyst was drilled under arthroscopic and fluoroscopic guidance via either a volar or dorsal portal, depending on the position identified on the computed tomography scan. Average follow-up time was 3.8 years (range, 1–5.6 years). Results: All patients returned to employment within 4 months. Wrist scores improved 34 points, from 51 to 85 points, by 1 year after surgery with trabeculation being noted within the grafting lunate. The greatest improvements were seen in visual and analog pain scores, reducing from 68.3 to 11.2, and flexion-extension arcs, which increased from 98° to 114°. Conclusions: The technique of debridement of intraosseous ganglions of the lunate is safe, with minimal morbidity and recurrence of symptoms during the follow-up period. |
Keywords: | Wrist Humans Synovial Cyst Cholera Toxin Fluoroscopy Arthroscopy Treatment Outcome Debridement Retrospective Studies Adult Middle Aged Female Male Lunate Bone |
Description: | Copyright © 2003 The American Society for Surgery of the Hand Published by Elsevier Inc. |
DOI: | 10.1053/jhsu.2003.50027 |
Description (link): | http://www.sciencedirect.com/science/journal/03635023 |
Published version: | http://dx.doi.org/10.1053/jhsu.2003.50027 |
Appears in Collections: | Aurora harvest 5 Orthopaedics and Trauma publications |
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