Prestyloid recess synovitis

Case contributed by Dr Nafisa Shakir Batta

Presentation

Marked tenderness ulnar side of wrist with visible swelling.

Patient Data

Age: 30 years
Gender: Male
Modality: MRI

MRI of wrist reveals a sharply demarcated cystic lesion splaying the ulnocarpal meniscal homologue within the prestyloid recess, between the ulnotriquetral ligament and ulnar capsule. The adjacent pisimetacarpal ligament is thickened. Marrow edema is seen suggesting  reactionary osteitis at pisiform.

 

Case Discussion

Acute prestyloid synovitis/ bursitis with ganglion cyst formation.

 

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Case Information

rID: 29511
Case created: 31st May 2014
Last edited: 21st Sep 2015
Inclusion in quiz mode: Included

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