Bilateral radiocarpal occult ganglion
Dr. Francisco Javier Ferreira Villanova
- Workstation: Hand surgery: San Rafael Hospital. HSJD. Madrid. Hand and upper limb surgery: Nuestra Señora del Rosario Hospital. Madrid.
- History and physical examination: 37-year-old woman who, while kitesurfing (overexertion) about 1.5 years ago, hurt her wrists. She reports the appearance of “tumours” on the back of her wrists that have gradually disappeared, although the pain has persisted. The examination reveals a doubtful Watson test and a “provocation test”Dorsal Wrist Yo“mpigment” + (Image 1).
- Ultrasound: In the short axis, we can see several cystic images of heterogeneous content with hypoechoic predominance immediately dorsal to the dorsal scapholunate ligament on the right wrist, with a slight “bulging” of the same being observed. In the long axis, a septate cystic image with hypoechoic content is again seen on the dorsum of the scapholunate ligament that expands distally towards the midcarpal joint. These same findings can be seen on the right wrist (video).
