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An intraosseous ganglion cyst is an uncommon pathologic condition with histological similarities to the soft tissue ganglion cyst. Carpal bones especially the scaphoid is a rare location of an intraosseous ganglion cyst.
We report the case of a 42-year-old right-handed man who presented with a painful left wrist evolving for nine months. The pain was localized at the anatomical snuff-box. It was increased with activity and slightly relieved with analgesic medication.
Plain radiographs of the left wrist revealed a radiolucent cystic lesion of the scaphoid without any fracture, loss of joint space or degenerative changes. CT-scan confirmed the lucent area with a sclerotic margin within the scaphoid, communicating with the joint space.
Through a volar approach, curettage and a Zaidemberg’s vascularized radial bone grafting was performed.