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.

Article Outline

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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References 

  1. Bauer TW , Dorfman HD . Intraosseous ganglion: a clinicopatho-logic study of 11 cases . Am J Surg Pathol . 1982;6:207–213
  2. Schajowicz F , Sainz MC , Slullitel JA . Juxta-articular bone cysts (intraosseous ganglia) . J Bone Joint Surg . 1979;61b:107–116
  3. Iwahara T , Hirayama T , Takemitu Y . Intraosseous ganglion of the lunate . The Hand . 1983;15:297–299
  4. Uriburu IJ , Levy VD . Intraosseous ganglia of the scaphoid and lunate bones: report of 15 cases in 13 patients . J Hand Surg . 1999;24:667–670
  5. Bowers WH , Hurst LC . An intraarticular-intraosseous carpal ganglion . J Hand Surg . 1979;4:375–377
  6. Mogan JV , Newberg AH , Davis PH . Intraosseous ganglion of the lunate . J Hand Surg . 1981;6:61–63
  7. Seymour N . Intraoseous ganglia. Report of two cases . J Bone Joint Surg (Br) . 1968;50:134–137
  8. Fealy MJ , Lineaweaver W . Intraosseous ganglion cyst of the scaphoid . Ann Plast Surg . 1995;34:215–217
  9. Helal B , Vernon-Roberts B . Intraosseous ganglion of the pisiform . The Hand . 1976;8:150–154
  10. Brown I , Huffstadt AJC . Intraosseous ganglia . The Hand . 1981;13:51–54
  11. Dungen SV , Marchesi S , Ezzedine R , Bindou D , Lorea P . Relationship between dorsal ganglion cysts of the wrist and intra-osseous ganglion cyst of the carpal bones . Acta Orthop Belg . 2005;71:535–539
  12. Feldman F , Johnston A . Intraosseous ganglion . Am J Roentgenol Radium Ther Nucl Med . 1973;118:328–343
  13. Tham S , Ireland DCR . Intraosseous ganglion cyst of the lunate: diagnosis and management . J Hand Surg . 1992;17B:429–432
  14. Sim FH , Dahlin DC . Ganglion cysts of bone . Mayo Clin Proc . 1971;46:484–488
  15. Gershuni DH , Pinsker R . Bone grafting for non-union of fractures of the tibia: a critical review . J Trauma . 1982;22:43–49
  16. Garg NK , Gaur S , Sharma S . Percutaneous autogenous bone marrow grafting in 20 cases of ununited fracture . Acta Orthop Scand . 1993;64:671–672
  17. Kawase T , Okuda K , Wolff LF , Yoshie H . Platelet-rich plasma-derived fibrin clot formation stimulates collagen synthesis in periodontal ligament and ostoblastic cells in vitro . J Periodontol . 2003;74:858–864
  18. Lind M , Schumacher B , Soballe K , Keller J , Melsen F , Bunger C . Transforming growth factor-beta enhances fracture healing in rabbit tibiae . Acta Orthop Scand . 1993;64:553–556
  19. Andrew JG , Hoyland JA , Freemont AJ , Marsh DR . Platelet-derived growth factor expression in normally healing human fracture . Bone . 1995;16:455–460
  20. Crane AR , Scarano JJ . Synovial cysts (ganglia) of bone . J Bone Joint Surg (Am) . 1967;49:355–361

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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