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|Title:||Arthroscopically assisted treatment of intraosseous ganglions of the lunate: A new technique|
|Citation:||Journal of Hand Surgery-American Volume, 2003; 28(1):62-68|
|Publisher:||W B Saunders Co|
|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.|
|Appears in Collections:||Orthopaedics and Trauma publications|
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