Kienböck’s Disease Hidden behind the Ganglion Cyst: A Clinical ClueCorrespondence Address :
Dr. Baris Polat,
Near East University, Near East Boulevard Nicosia/TRNC Mersin 10, ZIP-99138, Nicosia, Cyprus.
Ganglion cyst is the most common soft tissue mass of the wrist. Diagnosis is made by physical examination. Ultrasonography is used for diagnosis of occult ganglions. Cosmetic appearence and annoying pain are the most common complains of the patient with a wrist ganglion. It is a benign lesion and most of the time it regress spontaneously or treated with simple strategies. On the other hand, dorsal wrist ganglions could be misleading in diagnosis of underlying more serious pathologies. Traumatic bone or ligament injuries, benign bone tumours, inflammatory arthropathies, ulnar impaction syndrome, Kienböck’s disease and many other pathologies may have the similar symptoms with the wrist ganglion. Physicians should be suspicious in case of debilitating progressive symptoms. Ultrasonography is not diagnostic for most of the possible underlying diseases so further evaluation should be done with radiography and Magnetic Resonance Imaging (MRI). We report a case of 21-year-old man with severe right wrist pain and dorsal wrist ganglion, diagnosed with Kienböck’s disease seven months after the beginning of symptoms.
Avascular necrosis, Delayed diagnosis, Lunate pathology, Wrist pathology
Deniz Aydin, Baris Polat. KIENBÖCK’S DISEASE HIDDEN BEHIND THE GANGLION CYST: A CLINICAL CLUE. Journal of Clinical and Diagnostic Research [serial online] 2018 June [cited: 2018 Jun 24 ]; 12:RD01-RD02. Available from
Date of Submission: Feb 08, 2018
Date of Peer Review: Apr 10, 2018
Date of Acceptance: May 23, 2018
Date of Publishing: Jun 01, 2018
FINANCIAL OR OTHER COMPETING INTERESTS: NONE.
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