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Unicameral bone cyst of the lunate in an adult: case report.

Gündeş H, Sahin M, Alici T - J Orthop Surg Res (2010)

Bottom Line: We report a case of a symptomatic unicameral (simple) bone cyst of the lunate in a 42-year- old woman.At five years of follow-up the wrist was pain free, there were no limitations of motion, and the radiographs showed complete obliteration of the cavity.To the best of our knowledge, no other unicameral bone cyst of the lunate has been reported in an adult.

View Article: PubMed Central - HTML - PubMed

Affiliation: Maltepe University, School of Medicine, Department of orthopedics and hand surgery, Istanbul, Turkey. hakangundes@yahoo.com.

ABSTRACT
We report a case of a symptomatic unicameral (simple) bone cyst of the lunate in a 42-year- old woman. The lesion was treated with curettage and cancellous autogenous iliac bone grafting. At five years of follow-up the wrist was pain free, there were no limitations of motion, and the radiographs showed complete obliteration of the cavity. To the best of our knowledge, no other unicameral bone cyst of the lunate has been reported in an adult. Cysts with significant cavities at the carpal bones in an adult should be approached cautiously, as they may require early curettage and bone grafting for healing, before collapse and degenerative changes occur.

No MeSH data available.


Related in: MedlinePlus

PA radiograph of the right wrist. There was a radiolucent lesion measuring 11 mm in diameter at the center of the lunate with round margins. There was no scalloping, septae formation or cortical thinning.
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Figure 1: PA radiograph of the right wrist. There was a radiolucent lesion measuring 11 mm in diameter at the center of the lunate with round margins. There was no scalloping, septae formation or cortical thinning.

Mentions: A 42-year-old woman was referred to the hand clinic with dull pain and discomfort in her right dominant wrist that had been present for six months. Pain was steady and not aggravated by use. Examination revealed very mild dorsal swelling of the wrist, with tenderness over lunate. The range of motion was slightly restricted in all directions. A specific limitation on wrist flexion and radial deviation was observed. A scaphoid shift test was negative. Routine biochemical tests, blood count and erythrocyte sedimentation rate (ESR) were within normal limits. AP and lateral radiograph of the wrist revealed a radiolucent lesion measuring 11 mm in diameter at the center of the lunate with round margins (Figure 1). There was no scalloping, septae formation or cortical thinning. Computed Tomography (CT) scans of the wrist revealed a round hypodense cystic lesion of 10 mm in diameter without septae formation (Figure 2). Magnetic Resonance (MR) imaging views on coronal fat-suppressed and axial and sagittal T2 weighted sequences have revealed a homogenous hyper-intense cystic lesion in the lunate with smooth and round contours (Figure 3).


Unicameral bone cyst of the lunate in an adult: case report.

Gündeş H, Sahin M, Alici T - J Orthop Surg Res (2010)

PA radiograph of the right wrist. There was a radiolucent lesion measuring 11 mm in diameter at the center of the lunate with round margins. There was no scalloping, septae formation or cortical thinning.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2984580&req=5

Figure 1: PA radiograph of the right wrist. There was a radiolucent lesion measuring 11 mm in diameter at the center of the lunate with round margins. There was no scalloping, septae formation or cortical thinning.
Mentions: A 42-year-old woman was referred to the hand clinic with dull pain and discomfort in her right dominant wrist that had been present for six months. Pain was steady and not aggravated by use. Examination revealed very mild dorsal swelling of the wrist, with tenderness over lunate. The range of motion was slightly restricted in all directions. A specific limitation on wrist flexion and radial deviation was observed. A scaphoid shift test was negative. Routine biochemical tests, blood count and erythrocyte sedimentation rate (ESR) were within normal limits. AP and lateral radiograph of the wrist revealed a radiolucent lesion measuring 11 mm in diameter at the center of the lunate with round margins (Figure 1). There was no scalloping, septae formation or cortical thinning. Computed Tomography (CT) scans of the wrist revealed a round hypodense cystic lesion of 10 mm in diameter without septae formation (Figure 2). Magnetic Resonance (MR) imaging views on coronal fat-suppressed and axial and sagittal T2 weighted sequences have revealed a homogenous hyper-intense cystic lesion in the lunate with smooth and round contours (Figure 3).

Bottom Line: We report a case of a symptomatic unicameral (simple) bone cyst of the lunate in a 42-year- old woman.At five years of follow-up the wrist was pain free, there were no limitations of motion, and the radiographs showed complete obliteration of the cavity.To the best of our knowledge, no other unicameral bone cyst of the lunate has been reported in an adult.

View Article: PubMed Central - HTML - PubMed

Affiliation: Maltepe University, School of Medicine, Department of orthopedics and hand surgery, Istanbul, Turkey. hakangundes@yahoo.com.

ABSTRACT
We report a case of a symptomatic unicameral (simple) bone cyst of the lunate in a 42-year- old woman. The lesion was treated with curettage and cancellous autogenous iliac bone grafting. At five years of follow-up the wrist was pain free, there were no limitations of motion, and the radiographs showed complete obliteration of the cavity. To the best of our knowledge, no other unicameral bone cyst of the lunate has been reported in an adult. Cysts with significant cavities at the carpal bones in an adult should be approached cautiously, as they may require early curettage and bone grafting for healing, before collapse and degenerative changes occur.

No MeSH data available.


Related in: MedlinePlus