- 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 (JHS 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;
Dorsal wrist pain and the occult scapholunate ganglion.
Occult scapholunate ganglion: a cause of dorsal wrist pain.
BD Steinberg MD and WB Kleinman MD. J. Hand Surg.
Vol 24-A. No 2. Mar 1999 p 227.
