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Atypical Venous Malformation of the Volar Wrist Presenting as a Ganglion Cyst: Diagnostic Pitfalls and Surgical Insights – Case Report

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Case Report | Journal of Clinical Orthopaedics | Vol 10 | Issue 2 | July-December 2025 | page: 119-124 | J S R G Saran, Varun Devdass, Durai Anand

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.798

Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2025; The Author(s).

Submitted Date: 08 Nov 2025, Review Date: 15 Nov 2025, Accepted Date: 25 Nov 2025 & Published Date: 10 Dec 2025

Author: J S R G Saran [1], Varun Devdass [1], Durai Anand [1]

[1] Department of Orthopaedics, M S Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India

Address of Correspondence
Dr. J S R G Saran,
Department of Orthopaedics, M S Ramaiah University of Applied Sciences Nagar, Bengaluru, Karnataka 560094, India.
E-mail: jsaran868@gmail.com

Abstract

Background: Wrist swellings are most often benign cystic lesions such as ganglion cysts; however, vascular anomalies such as venous malformations (VMs), though rare, can closely mimic these entities and pose diagnostic challenges.
Case Report: A 24-year-old male presented with a painful volar wrist swelling following trauma, radiologically suggestive of a multiloculated ganglion cyst. Conservative management failed, and surgical excision through a modified Henry approach was undertaken. Intraoperatively, an ill-defined, violaceous, non-pulsatile vascular mass was identified and completely excised with assistance from a vascular surgery team. Histopathological examination confirmed a VM.
Results: Post-operative rehabilitation led to significant improvement in pain and wrist function, with no recurrence noted at short-term follow-up.
Conclusion: VMs, though rare, should be considered in persistent wrist swellings unresponsive to conservative treatment. Complete surgical excision with multidisciplinary support and structured rehabilitation can achieve excellent functional recovery and prevent recurrence.
Keywords: Atypical venous malformation, Wrist, ganglion cyst, Surgical excision, Vascular anomaly.

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How to Cite this Article: Saran JSRG, Devdass V, Anand D. Atypical Venous Malformation of the Volar Wrist Presenting as a Ganglion Cyst: Diagnostic Pitfalls and Surgical Insights – Case Report. Journal of Clinical Orthopaedics. July-December 2025;10(2):119-124.

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Management of Chronic Palmar Distal Radio-ulnar Joint Dislocation of Wrist: A Case Report on Young Gymnast with 1-Year Follow-up

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Journal of Clinical Orthopaedics | Vol 7 | Issue 1 |  Jan-Jun 2022 | page: 64-66 | Parag Lad, Pankaj Ahire

DOI:10.13107/jcorth.2022.v07i01.475

Author: Parag Lad [1], Pankaj Ahire [2]

[1] Department of Orthopaedics, Pinnacle Orthocentre & Jupiter Hospital, Thane, Maharashtra, India

[2] Department of Orthopaedics, P D Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India

 

Address of Correspondence
Dr. Parag Lad,
Department of Orthopaedic, Pinnacle Orthocentre, Chandanwadi-Charai Junction, Thane (401602), Maharashtra, India.
E-mail: orthodoc_p@yahoo.com

Abstract

Background: A palmar dislocation of distal radio-ulnar joint (DRUJ) is rare and causes gross functional restriction of pronation. It is certainly major cosmetic concern for the patient as keeps the forearm supinated because of dislocation. Usually, such injuries are caused due to high velocity trauma and fall on supinated hand. The literature is sparse on the management of palmar dislocation of DRUJ.

Materials and Methods: We present a case report on the management of chronic palmar dislocation in a 27-year-old professional gymnast trainer with 1-year follow-up. We describe the surgical technique of open reduction by palmar approach and reconstruction of triangular fibrocartilage complex ligament by suture anchor. The post-operative rehabilitation protocol is also mentioned in detail.

Results: The patient has 80° pronation and painless wrist range of movements at 1-year follow-up. She is able to perform all activities of daily living though not confident in weight bearing on affected wrist.

Conclusion: As per our knowledge, this is described for the 1st time about the management of chronic palmar DRUJ case in young gymnast. The restricted pronation is important sign of palmar DRUJ dislocation. The return of pronation gives immense satisfaction to the patient.

Keywords: Case report, palmar, chronic, DRUJ, dislocation, wrist, gymnast

References

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How to Cite this article: Lad P, Ahire P. Management of Chronic Palmar Distal Radio-ulnar Joint Dislocation of Wrist: A Case Report on Young Gymnast with 1-Year Follow-up. Journal of Clinical Orthopaedics Jan-Jun 2022;7(1):64-66.

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