Dorsal wrist ganglion cyst

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Wrist pain and mass sensation over the dorsal aspect.

Patient Data

Age: 45 years
Gender: Female
mri
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Coronal PD
fat sat
This study is a stack
Sagittal
PD fat sat
This study is a stack
Axial PD
fat sat
This study is a stack
Axial
T1
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Info

A multiloculated fluid equivalent signal cystic structure, measuring 10 x 22 x 38 mm, with sharply defined margins, is located over the dorsolateral aspect of the wrist. It has a thin capsule and appears to have an elongated pedicle originating from the scapholunate articulation, sagittal. This pedicle traverses the space between the second and fourth common extensor compartments, moving into the subcutaneous region and lying superficial to the second extensor compartment and extensor pollicis longus tendon.

Case Discussion

MRI imaging findings are consistent with the dorsal carpal ganglion cyst with an elongated pedicle and multiloculated bulky cyst over the dorsolateral aspect of the wrist and lying superficial to the second extensor compartment and EPL tendon.

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