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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
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.
RMID: 0020030838
DOI: 10.1053/jhsu.2003.50027
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Appears in Collections:Orthopaedics and Trauma publications

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