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Dorsal Wrist Pain

Diff Dx

  • Ganglionic cyst
    • probably the most common cause of dorsal wrist pain (when obvious causes such as frx or SLD have been ruled out);
    • in the study by Steinberg and Kleinman (1999), 18 out of 21 patients with dorsal wrist pain had an occult scapholunate ganglion;
    • result from cystic degeneration within scapholunate ligament and may be related to scapholunate pathology;
  • Keinbock's disease
  • AVN of capitate: rare, can follow a transverse fracture; Rx is curettage/fusion;
  • Distal PIN Syndrome
  • Scaphoid impaction syndrome

Management

  • consider steroid injection into the wrist joint of up to three injections over one year;