Scapholunate ganglia and lunotriquetral coalition

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Non-traumatic right wrist pain on the dorsal aspect.

Patient Data

Age: 30 years
Gender: Male

Multiple short-axis images of the dorsal wrist at scapholunate joint region. A cystic focus is sitting over the scapholunate joint in favor of a ganglion. An inhomogeneous echo pattern of the scapholunate ligament. The affected side lunate appears to be 'very large' due to the lunotriquetral coalition.

Comparison with opposite side shows normal lunotriquetral articulation cleft.

FU after about 1 mth for...

x-ray

FU after about 1 mth for increasing pain.

Fusion of lunate and triquetral bones.

FU after about 1 mth for...

ultrasound

FU after about 1 mth for increasing pain

The ganglion cyst has increased in size in comparison to the previous USG.

Case Discussion

Findings favor scapholunate ganglion cyst - a most common site in the wrist.

An incidental finding of the lunotriquetral coalition.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.