Proximal Row Carpectomy for Coexisting Kienböck's Disease and Giant Intraosseous Ganglion of the Scaphoid: A Case Report and Review of the Literature.

Miguel Morón,Florian Oellig,Tomás Sánchez

doi:10.1155/2014/834063

Miguel Morón, Florian Oellig + Show 1 more

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https://doi.org/10.1155/2014/834063

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Abstract

The etiologies of Keinböck's disease and intraosseous ganglion remain unknown. Both entities are rare and the coexistence of these two pathologies in the same patient and hand is even less frequent. We report the case of a 40-year-old man with a longstanding history of martial arts practice (karate) who developed an avascular necrosis of the lunate concomitant with a giant intraosseous ganglion of the scaphoid bone successfully managed by proximal row carpectomy. We review the literature of these two diseases.

Highlights

Idiopathic avascular necrosis of the hand is uncommon and can result in carpal collapse if untreated
We report the case of a 40-year-old man with a longstanding history of martial arts practice who developed an avascular necrosis of the lunate concomitant with a giant intraosseous ganglion of the scaphoid bone successfully managed by proximal row carpectomy
Intraosseous ganglion (IOG) cysts are rare benign nonneoplastic bone lesions that have a predilection for long bones of the lower limb and are not infrequent in carpal bones [2]

Summary

Introduction

Idiopathic avascular necrosis of the hand is uncommon and can result in carpal collapse if untreated. Until now the cause of this phenomenon is still undetermined This disease can leave sequelae of every wrist arthrosis. There are several publications in the surgical literature regarding the treatment of these two rare entities [3,4,5]. None of these reports describe the surgical treatment for both pathologies simultaneously occurring in the same hand. We report our experience in proximal row carpectomy for Kienbock’s disease and giant intraosseous ganglion of the scaphoid bone concomitantly in the same hand of a 40-year-old patient. We review the clinical evaluation, X-ray, CT and MRI appearance of the two diseases, and the surgical treatment

Case Report

Discussion

Findings

Conclusion