Active treatment of ganglia in children

MacKinnon, A.E.; Azmy, Amir

doi:10.1136/pgmj.53.621.378

Cited by 31 publications

(18 citation statements)

References 11 publications

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“…The fact that the patient had a history of a swelling in the dorsum of the foot that disappeared, only to later recur, was suggestive of a ganglion cyst, because these lesions are known to occasionally disappear spontaneously, frequently recurring some time later (MacKinnon and Azmy, 1977;Colen and Rengachary, 2006). The location of the ganglion between the medial and intermediate cuneiform bones proved to be consistent with the anatomical reasoning presented above.…”

Section: Discussionsupporting

confidence: 63%

Paresthesia and hypesthesia in the dorsum of the foot as the presenting complaints of a ganglion cyst of the foot

et al. 2010

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Although ganglion cysts of the foot represent a substantial amount of lumps in this region, they rarely cause peripheral nerve symptoms. We describe the clinical case of a 43-year-old female with complaints in the previous three months of hypesthesia and paresthesia in the anterior portion of the medial half of the dorsum of her left foot that extended into the first interdigital cleft. She associated the start of her neurological symptoms to the appearance of a lump in the dorsum of the foot. A presumptive diagnosis of compression of the medial branch of the deep fibular nerve and of the medial dorsal cutaneous nerve in the dorsum of the foot by a ganglion cyst was made. Ultrasonography confirmed the cystic nature of the lesion and surgery allowed complete excision of a mass arising from the joint between the medial and intermediate cuneiform bones that was compressing the deep fibular nerve and the medial dorsal cutaneous nerve. Pathological examination confirmed that the lesion was a cystic ganglion. As far as the authors know, the simultaneous compression of the medial branch of the deep fibular nerve and of the medial dorsal cutaneous nerve in the dorsum of the foot by a ganglion cyst has not been described before.

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Section: Discussionsupporting

confidence: 63%

Paresthesia and hypesthesia in the dorsum of the foot as the presenting complaints of a ganglion cyst of the foot

et al. 2010

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“…The rate of recurrence of 14% determined here is lower than the rate measured in other studies. As mentioned above, it has been measured as high as 43% recurrence rate after aspiration, puncture, or indwelling suture [4]. However, in these cases from the literature review, there was no injection of triamcinolone acetonide.…”

Section: Discussionmentioning

confidence: 86%

“…Recurrence rate among children is higher than in adults. It has been measured as high as 43% recurrence rate after aspiration, puncture, or indwelling suture [4]. Most are usually managed by observation.…”

mentioning

confidence: 99%

Aspiration and triamcinolone acetonide injection of wrist synovial cysts in children

Colberg¹,

Sánchez²,

Lugo-Vicente³

2008

Journal of Pediatric Surgery

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“…4 Notably, recurrence rates are reportedly higher for children than adults, ranging from as low as 6% to as high as 35%. 6,8 Suggested surgical maneuvers to decrease ganglion recurrence include excision of cysts down to the stalk, excision of a cuff of ligament, or splinting for immobilization of the wrist. This study focuses on a single surgeon's use of all of these techniques in a solely pediatric population.…”

Section: Various Methods Of Surgical Excision For Dorsal Wrist Ganglimentioning

confidence: 99%

Pediatric Ganglion Cysts: A Retrospective Review

Meyerson

Pan

Spaeth

et al. 2018

Hand (New York, N,Y.)

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This is a retrospective review of a single pediatric hand surgeon's outcomes of pediatric wrist ganglion cysts. Our recurrence rate of 5.3% is low for a pediatric population indicating potential merit in this surgeon's operative and postoperative techniques. We demonstrate significantly increased rates of recurrence when a cyst had been previously aspirated, possibly indicating scarring and disruption of planes resulting in difficult dissection, increased tourniquet times, and incomplete excision.

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Active treatment of ganglia in children

Cited by 31 publications

References 11 publications

Paresthesia and hypesthesia in the dorsum of the foot as the presenting complaints of a ganglion cyst of the foot

Paresthesia and hypesthesia in the dorsum of the foot as the presenting complaints of a ganglion cyst of the foot

Aspiration and triamcinolone acetonide injection of wrist synovial cysts in children

Pediatric Ganglion Cysts: A Retrospective Review

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