Treatment of intraosseous ganglia and bone cysts of the carpal bones with injectable calcium phosphate bone cement.
This article documents the outcome of treatment of intraosseous ganglia and simple bone cysts of the carpal bones by curettage and injectable calcium phosphate bone cement (CPC) grafting. The patients consisted of five men and three women. One had a cystic lesion in the scaphoid, one in the hamate, and five in the lunate. Curettage of the lesions was performed, and CPC was injected into the cavity. Five patients were diagnosed with a ganglion and three with a simple bone cyst. Among the five patients with wrist pain, the pain disappeared completely in four. Radiographs showed apparent partial absorption of CPC in four patients and no absorption in other four. There were no recurrence of tumours and no other complications were encountered. We conclude that calcium phosphate bone cement is a useful material for repairing bone defect after curettage of an intraosseous ganglion or bone cyst of a carpal bone.
Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan. hyajima@naramed-u.ac.jp
Hiroshi
H
Yajima
Keiichi
K
Murata
Kenji
K
Kawamura
Kenji
K
Kawate
Yoshinori
Y
Takakura
D000293:Adolescent; D000328:Adult; D018771:Arthralgia / Q000209:etiology / Q000628:therapy; D001843:Bone Cements / Q000627:therapeutic use*; D001845:Bone Cysts / Q000628:therapy*; D002348:Carpal Bones / Q000601:surgery*; D002809:Chondroitin Sulfates / Q000627:therapeutic use*; D003475:Curettage; D005260:Female; D045888:Ganglion Cysts / Q000628:therapy*; D006801:Humans; D006882:Hydroxyapatites / Q000627:therapeutic use*; D007267:Injections; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D013386:Succinates / Q000627:therapeutic use*; D055815:Young Adult
C481019:Biopex; D001843:Bone Cements; D006882:Hydroxyapatites; D013386:Succinates; D002809:Chondroitin Sulfates