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- W4384700912 abstract "Le kyste synovial intra-osseux du lunatum est une étiologie rare et peu décrite des douleurs du poignet. Sa prise en charge est toujours sujette à controverse entre surveillance clinique et traitement chirurgical. Il est admis que cette pathologie est fortement sous diagnostiquée et prise fréquemment pour une entorse bénigne du poignet. Le diagnostic est souvent fait au stade de complications (ex. : fracture du lunatum). Nous avons reçu 5 cas entre 2014 et 2020, que nous avons suivis cliniquement et radiologiquement tout en adoptant principalement une approche conservatrice, inversement à ce qui est communément pratiqué (prise en charge chirurgicale avec excision avec comblement par greffe). Le choix entre les moyens thérapeutiques (non chirurgical et chirurgical) reste toujours difficile pour le chirurgien, compte tenu que la littérature manque d’études sur de grandes séries de cas qui permettraient de guider avec plus de certitude la prise en charge. L’abstention chirurgicale, en dehors des complications, nous a donné des résultats satisfaisants. En comparant ces derniers avec ceux de la littérature, nous proposons ainsi une approche thérapeutique plus codifiée. Intraosseous synovial cyst of the lunate is a rare and poorly described etiology of wrist pain. Its management is still subject to controversy between clinical monitoring and surgical treatment. It is admitted that this pathology is strongly under-diagnosed, and frequently mistaken for a benign wrist sprain. The diagnosis is often made at the stage of complications (lunate fracture). We received 5 cases between 2014 and 2020, which we followed clinically and radiologically while adopting the conservative approach, contrary to what is commonly practiced (excision of the cyst with filling by graft). This choice between the two therapeutic means is always difficult for the surgeon, given that the literature lacks studies on large series, which will make it possible to guide the management with certainty. Therapeutic abstention, apart from complications, has given us satisfactory results. By comparing these results with those of the literature, we will propose a well-codified therapeutic approach." @default.
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- W4384700912 date "2023-09-01" @default.
- W4384700912 modified "2023-09-27" @default.
- W4384700912 title "Le kyste synovial de l’os semi-lunaire : cause rare et sous diagnostiquée de douleurs du poignet chez les sportifs" @default.
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- W4384700912 doi "https://doi.org/10.1016/j.jts.2023.06.003" @default.
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