Journal of the Chinese Medical Association
Volume 70, Issue 5 , Pages 222-226, May 2007

Intraosseous Ganglion Cyst of the Capitate Treated by Intralesional Curettage, Autogenous Bone Marrow Graft and Autogenous Fibrin Clot Graft

  • Ying-Chieh Chen

      Affiliations

    • Department of Orthopedics, National Defense Medical Center, Taipei, Taiwan, R.O.C.
    • ,
  • Shyu-Jye Wang

      Affiliations

    • Department of Orthopedics, National Defense Medical Center, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Shyu-Jye Wang, Department of Orthopedics, Tri-Service General Hospital, 325, Section 2, Cheng-Kung Road, Taipei 114, Taiwan, R.O.C.
    • ,
  • Pei-Hung Shen

      Affiliations

    • Department of Orthopedics, National Defense Medical Center, Taipei, Taiwan, R.O.C.
    • ,
  • Guo-Shu Huang

      Affiliations

    • Department of Radiology, National Defense Medical Center, Taipei, Taiwan, R.O.C.
    • ,
  • Herng-Sheng Lee

      Affiliations

    • Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
    • ,
  • Shing-Sheng Wu

      Affiliations

    • Department of Orthopedics, National Defense Medical Center, Taipei, Taiwan, R.O.C.

Received 29 November 2006; accepted 29 March 2007.

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.

Key Words:  bone marrow graft , capitate , fibrin clot graft , intraosseous ganglion cyst

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PII: S1726-4901(09)70363-6

doi:10.1016/S1726-4901(09)70363-6

Journal of the Chinese Medical Association
Volume 70, Issue 5 , Pages 222-226, May 2007

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