Scapholunate ganglion cyst

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Left wrist dorum swelling for the last months. No trauma. Plain radiograph of wrist - not available.

Patient Data

Age: 25 years
Gender: Male
ultrasound

There is a well-defined, lobulated, thin-walled, anechoic lesion on the dorsal aspect of the wrist. It is non-compressible without internal vascularity. It overlies the scapholunate joint, between 2nd and 4th extensor compartments. Approximate size is 14 x 14 x 7 mm. Its neck extends to the scapholunate joint. There is a fluid cleft in the dorsal scapho-lunate ligament.

No wrist joint effusion/ extensor tenosynovitis.

Case Discussion

Findings suggest a scapholunate ganglion cyst.

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