Physical Medicine Rehabilitation

Carpal Disorders

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D) Gentle retraction of the flexor tendons and the median nerve will allow exposure of the volar capsule of the wrist joint. ) division of the radiocarpal ligaments (radioscaphocapitate and long radiolunate ligaments) [30]. 5 to 2 cm from scaphoid tuberosity. The distal incision angles toward and is in line with the thumb metacarpal (Fig. 15A). Care must be taken not to cross the ulnar border of the FCR because the palmar cutaneous branch of the median nerve lies there. reveal the palmar wrist capsule, which in this region contains the capsular ligaments of the radioscaphocapitate and the long radiolunate ligament (Fig.

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. [4] Albaladejo Mora F, Sarabia Condes JM, Saura Sanchez E, et al. Intraosseous ganglion of carpal scaphoid: a case report. J Hand Surg [Am] 1993;18(4): 665–6. [5] De Smet L, Van Ransbeeck H. Intraosseous ganglion of the triquetrum.

T2 fat-suppressed and short tau inversion recovery (STIR) sequences are water-sensitive, and will identify fluid-filled cysts as well as the edema that accompanies injury (eg, ligament tears, pathologic fractures), infection, or infiltrating tumors. Careful review of the MRI is often the final step necessary for planning the definitive surgery for most lesions and tumors of the carpus. Lesions that are especially destructive or that infiltrate the soft tissues may need further workup. The surgeon should exclude inflammatory processes such as rheumatoid arthritis, gout, and infection, all of which are more common than a true aggressive tumor or lesion of the carpus (Fig.

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