Alexandre Cerlier, M. S. , André-Mathieu Gay, M. D. , Ph. D

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Presentation transcript:

Arthroscopic Treatment of Intraosseous Ganglion Cyst of the Lunate Bone Alexandre Cerlier, M.S., André-Mathieu Gay, M.D., Ph.D., Michel Levadoux, M.D., Ph.D. Arthroscopy Techniques Volume 4, Issue 5, Pages e513-e518 (October 2015) DOI: 10.1016/j.eats.2015.05.011 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Frontal radiographic view of the wrist of a 48-year-old woman with an intraosseous ganglion cyst of the lunate bone. (B) Close-up view of cyst. Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 Computed tomography scans of the wrist of a 63-year-old man with an intraosseous ganglion cyst of the lunate bone. (A) Frontal view showing that the cyst is on the scaphoid side of the lunate and is communicating with the articulation. (B) Frontal view showing the cyst on the triquetral side. (C) On the sagittal view, the cyst is shown to represent more than 50% of the height of the lunate. (D) On the transverse view, the cyst is shown to represent one-third of the lunate length. Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 Magnetic resonance images, frontal view. (A) T2 image showing no sclerosis of the lunate bone, permitting exclusion of Kienböck disease. (B) T1 image showing a cyst with hypersignal in the lunate bone. Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic view from radiocarpal showing scapho lunate space and capitate on the top (arthroscope in 3-4 portal and instruments in 4-5 portal). Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 5 Arthrosynovial cyst resection with shaver from radiocarpal position (arthroscope in 3-4 portal and instruments in 4-5 portal). Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 6 Arthroscopic views (A) with awl in radiocarpal joint and (B) after corticotomy (arthroscope in 3-4 portal and instruments in 4-5 portal). Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 7 Arthroscopic view: cyst resection is completed with a small curette (arthroscope in 3-4 portal and instruments in 4-5 portal). Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 8 Placement of bone graft in lunate with a 2.7-mm soft-tissue protector (arthroscope in 3-4 portal and instruments in 4-5 portal). Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 9 Bone graft impaction. Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 10 CT scan showing cyst resorption. Arthroscopy Techniques 2015 4, e513-e518DOI: (10.1016/j.eats.2015.05.011) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions