AI Article Synopsis

  • The carpal boss (CB) is a rare bony growth found at the quadrangular joint of the wrist, potentially caused by osteophyte formation or an accessory bone known as os styloideum.
  • People with a carpal boss may experience pain, swelling, and limited hand movement, often due to joint degeneration, ganglion cysts, or tendon issues.
  • The review emphasizes the importance of high-resolution ultrasonography (HR-US) for diagnosing and managing conditions related to the carpal boss and outlines the standard techniques for assessing the quadrangular joint.

Article Abstract

At the quadrangular joint (QAJ) of the carpus, a rare bony protuberance called carpal boss (CB) may occur. This bone abnormality may be due to osteophytes development or os styloideum. Symptomatic patients may complain pain, swelling, and restrictions in hand motion. These symptoms result from joint degenerative-inflammatory changes, development of ganglion cyst/bursitis, or tendons pathology. Correct diagnosis and appropriate management can be achieved through high-resolution ultrasonography (HR-US). The purpose of this review is to define the pathology spectrum around and within the QAJ in CB. The role of HR-US is highlighted and the standard technique for the QAJ assessment is described.

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Source
http://dx.doi.org/10.1002/jcu.23763DOI Listing

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Article Synopsis
  • The carpal boss (CB) is a rare bony growth found at the quadrangular joint of the wrist, potentially caused by osteophyte formation or an accessory bone known as os styloideum.
  • People with a carpal boss may experience pain, swelling, and limited hand movement, often due to joint degeneration, ganglion cysts, or tendon issues.
  • The review emphasizes the importance of high-resolution ultrasonography (HR-US) for diagnosing and managing conditions related to the carpal boss and outlines the standard techniques for assessing the quadrangular joint.
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Article Synopsis
  • * A 24-year-old male with chronic wrist pain and a noticeable bony bump had surgery to remove the carpal boss and a ganglion cyst, leading to significant relief and improved motion.
  • * While conservative treatments can work for some, many patients with symptomatic carpal boss ultimately require surgery for effective treatment.
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