Arthroscopic resection of volar ganglion of the wrist: A new technique

Sonography-guided Arthroscopy for Wrist Ganglion

“…To compensate for this shortcoming, they and others used an empirical method; that is, applying external pressure on the ganglions to detect capsular bulging at the stalk. 1,3,4,15 Recently, Yao and Trindade reported color-aided visualization of dorsal wrist ganglion stalks to aid arthroscopic excision. 16 However, the treatment outcomes, including the recurrence rate and complications, have not yet been reported.…”

“…3 Therefore, Ho et al cautioned against advancing the shaver tip deep into the volar capsule during resection of volar ganglions to prevent damage to the important structures outside of the joint. 1 Using sonography, not only ganglions but also vessels, nerves, and tendons around the lesion can be clearly observed. In addition, the cycling tip of the motorized shaver can be safely guided to the lesion while confirming its relationship with surrounding tissues.…”

“…[1][2][3][4][5] Generally, arthroscopic decompression has the advantage of avoiding extensive soft tissue dissection, reducing postoperative pain and scarring, and allowing for early return of function as compared with open resection. However, the surgeon cannot confirm the depth and direction of the arthroscopic instruments, especially when dealing with extra-articular lesions, including ganglions.…”

Intérêt thérapeutique de l'arthroscopie du poignet : à propos de 1000 cas

“…La résection arthroscopique des kystes synoviaux dorsaux et palmaires du poignet nous paraît être une méthode de choix car les suites opératoires sont extrêmement simples et cette technique évite la majorité des complications décrites [25][26][27][28][29][30][31][32].…”

L'arthroscopie du poignet. Indications actuelles et résultats

“…Certains kystes du poignet de physiopathologie encore mystérieuse [3,4,33,147] sont parfaitement accessibles à une excision arthroscopique à mettre en balance avec les techniques conservatrices ou chirurgicales classiques [15,39,41,52,53,54,73,78,84,92,118,124] :…”