- Diff Dx:
- Ganglionic cyst
- probably the most common cause of dorsal wrist pain (when obvious causes such as frx or SLD have been ruled out);
- in the study by Steinberg and Kleinman (1999), 18 out of 21 patients with dorsal wrist pain had an occult scapholunate ganglion;
- result from cystic degeneration within scapholunate ligament and may be related to scapholunate pathology;
- Keinbock's disease
- AVN of capitate: rare, can follow a transverse fracture; Rx is curettage/fusion;
- Distal PIN Syndrome
- Scaphoid impaction syndrome
- Management:
- consider steroid injection into the wrist joint of up to three injections over one year;
Dorsal wrist pain and the occult scapholunate ganglion.