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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;



Dorsal wrist pain and the occult scapholunate ganglion.

Occult scapholunate ganglion: a cause of dorsal wrist pain.