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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
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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