Intraosseous ganglion cyst of the capitate treated by intralesional curettage, autogenous bone marrow graft and autogenous fibrin clot graft.
We report a very rare case of intraosseous ganglion cyst of the capitate in a 54-year-old female who complained of a painful right wrist mass for 1 year. Computed tomography study showed an expansile osteolytic lesion with sclerotic margin and thinning of the cortex. Combined soft tissue ganglion cyst was also noted at operation and confirmed by pathologic study. The case was treated by a new method of autogenous bone marrow and fibrin clot graft after intralesional curettage. After a 2-year follow-up, the capitate revealed complete bony union and the symptoms were relieved with good functional results.
Chen
Ying-Chieh
YC
Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Wang
Shyu-Jye
SJ
Shen
Pei-Hung
PH
Huang
Guo-Shu
GS
Lee
Herng-Sheng
HS
Wu
Shing-Sheng
SS
D016026:Bone Marrow Transplantation; D051224:Capitate Bone; D003475:Curettage / Q000379:methods*; D005260:Female; D005337:Fibrin / Q000627:therapeutic use*; D045888:Ganglion Cysts / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous
D005337:Fibrin