A female presented with clinical signs of right carpal tunnel syndrome along with a palpable nodule on the volar-radial side of the wrist. The ultrasound shows a carpal tunnel ganglion with median nerve compression. The clinically palpable nodule is a scaphoid-trapezium joint region ganglion.

Later, the nerve conduction velocity test revealed carpal tunnel syndrome. Surgical release of the flexor retinaculum was done along with carpal tunnel ganglion excision. The scaphoid-trapezium region ganglion was also excised.

Intraoperative photo courtesy of operating surgeon Dr. Piyush N. Patel.