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Cystic lesion in carpal bone.

M Ikeda1, Y Oka

  • 1Department of Orthopaedic Surgery, Tokai University Oiso Hospital, 21-1 Gakkyo, Oiso, Naka-gun, Kanagawa, 259-0198, Japan.

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
|November 23, 2000
PubMed
Summary

Symptomatic carpal bone cystic lesions, including juxta-articular bone cysts, were treated with curettage and bone grafting. Favorable outcomes suggest minor trauma initiates these intraosseous lesions.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Radiology

Background:

  • Cystic lesions of carpal bones can cause symptoms and require surgical intervention.
  • Accurate diagnosis, understanding etiology, and effective treatment are crucial for managing these conditions.

Observation:

  • Reviewed six cases of symptomatic carpal bone cystic lesions treated surgically.
  • Lesions affected the scaphoid, lunate, capitate, and triquetrum, with multiple lesions in four patients.
  • Diagnoses included juxta-articular bone cyst and bone cyst-like pathologic changes.

Findings:

  • Juxta-articular bone cysts presented as intraosseous cavities with gelatinous material.
  • Bone cyst-like changes showed fibrous connective tissue histologically similar to juxta-articular bone cysts.

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  • All six cases were treated with curettage and cancellous bone grafting, resulting in favorable outcomes without complications.

    • Implications:

    • Minor carpal trauma may initiate intraosseous lesions through intramedullary metaplasia.
    • This process can lead to fibrous connective tissue proliferation and cystic cavity formation.
    • Surgical treatment involving curettage and bone grafting is effective for symptomatic carpal bone cystic lesions.