Carpal Disorders

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Cystic lesion in carpal bone. Hand Surg 2000;5(1):25–32. [8] Iwahara T, Hirayama T, Takemitu Y. Intraosseous ganglion of the lunate. Hand 1983;15(3):297–9. [9] Logan SE, Gilula LA, Kyriakos M. Bilateral scaphoid ganglion cysts in an adolescent. J Hand Surg [Am] 1992;17(3):490–5. [10] Mogan JV, Newberg AH, Davis PH. Intraosseous ganglion of the lunate. J Hand Surg [Am] 1981; 6(1):61–3. [11] Schajowicz F, Clavel Sainz M, Slullitel JA.

Morphology and topography of intraosseous ganglion cysts in the carpus: an anatomic, histopathologic, and magnetic resonance imaging correlation study. J Hand Surg [Am] 2003;28(1):52–61. [2] Van den Dungen S, Marchesi S, Ezzedine R, et al. Relationship between dorsal ganglion cysts of the wrist and intraosseous ganglion cysts of the carpal bones. Acta Orthop Belg 2005;71(5):535–9 [in French]. [3] Kligman M, Roffman M. Bilateral intraosseous ganglia of the scaphoid and lunate bones. J Hand Surg [Br] 1997;22(6):820–1.

Osteotomy of Lister’s tubercle is no longer routinely performed. This effectively releases the second compartment tendons, allowing greater radial retraction of the extensor carpi radialis brevis and longus for the dorsal capsulotomy to be extended more radially. If exposure of the ulnocarpal joint is required instead of the radiocarpal joint, a capsulotomy with a proximally based capsular flap should be used instead (Fig. 11A) [6]. The landmarks for this capsular flap are the dorsal tubercle of the triquetrum, the dorsal radioulnar ligament, and the dorsal radiocarpal ligament.

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