DORSAL AND VOLAR WIRST GANGLIONS
Analysis of literature data on the pathomorphology of the dorsal and volar ganglia of the wrist joint showed that 60-70% of the ganglia of the hand are located on the dorsal side of the hand and are most often formed in the area of the scapholunate ligament (lig. interosseum scapholunatum). 13-20% of the ganglia of the hand are located on the volar side of the hand and are most often formed in the radioscaphoid (reg. radioscaphoideum) or in the scapholunate region (reg. scapholunatum) of the wrist joint (art. radiocarpea). Analysis of the literature data concerning the sonographic and intraoperative pathohistological studies in situ by dyeing the area of mucinous fluid leakage at the site of the ganglion cyst excision confirms the presence of an anatomical connection in the form of a “stalk” connecting the ganglion cavity with the articular cavity of the wrist joint. On MRI, the dorsal and volar ganglia of the hand can also be visualized with a “stalk” indicating the joint to which they are connected and from which they originate; however, in some cases, for unknown reasons, the sign of the “stalk” of the ganglion on MRI may be absent. Pathohistologically, the ganglion wall is described as a connective tissue, consisting of collagen fibers and rare cells similar to fibroblasts or maybe other type of mesenchymal cells. The biochemical composition of the ganglion aspirate is not known. Analysis of the cytomorphological picture of the aspirate of the ganglion cyst and the synovial fluid of the wrist joint leads to the conclusion that the aspirate of the gang
Keywords
ganglion,
hygroma,
articular cavity,
fineneedle aspiration biopsy,
histologyAuthors
| Baytinger V.F. | Institute of Microsurgery; Krasnoyarsk State Medical University named after Prof. V.F. Voyno-Yasenetsky | baitinger@mail.tomsknet.ru |
| Lunetcas M.A. | Institute of Microsurgery | |
| Hansen K.A. | Hospital Sydvestjysk | |
Всего: 3
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