Aspiration and triamcinolone acetonide injection of wrist synovial cysts in children

Colberg, Ricardo E.; Sánchez, Carlos F.; Lugo-Vicente, Humberto

doi:10.1016/j.jpedsurg.2008.04.004

Cited by 22 publications

(13 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recurrence rate after hyaluronidase sclerotherapy is reported to be approximately 25 % [9]. Triamcinolone, when injected in the cyst cavity, lies in close contact with mucin-secreting mesenchymal cells of the cyst lining, arresting the secretion of gelatinous fluid into the cavity [10]. Recurrence rate after [11].…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Recurrence and Complications Using Various Sclerosants by Single Dart Technique in Treatment of Ganglion Cysts

Basu

Gupta

et al. 2012

Indian J Surg

View full text Add to dashboard Cite

Ganglion cysts are tense,smooth,fluctuant,cystic and transilluminant swellings. They are commonly found on the dorsum of the wrist, at the scapholunate articulation and may involve volar wrist, tendon sheaths and even inter phalangeal joints. This study aims to compare the efficacy and the recurrence rates with triamcinolone, hyaluronidase and sodium tetradecyl sulphate,using the single dart technique. This prospective observational study was conducted on patients who presented to the general surgery outpatient department of our institute with ganglion cysts of wrist between January 2010 and August 2011 (20 months). A total of 180 patients were included in this study. The difference in the recurrence rates after sclerotherapy for ganglion cysts is statistically not significant between triamcinolone and hyaluronidase regimens as Z (P1-P2)01.70, p>0.05 but the difference in the recurrence rates after sclerotherapy for ganglion cysts is statistically significant between triamcinolone and sodium tetradecyl sulphate regimens as Z (P1-P2)03.34, p<0.05 . Chi-square value −10.33 (2°of freedom), p00.00571987 (significant at 5 % level). Intralesional injection of triamcinolone by single dart technique, therefore, may be considered as a simple, safe, cost effective, convenient, less invasive alternative to surgical excision of wrist ganglion cysts.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparative Study of Recurrence and Complications Using Various Sclerosants by Single Dart Technique in Treatment of Ganglion Cysts

Basu

Gupta

et al. 2012

Indian J Surg

View full text Add to dashboard Cite

show abstract

“…[1415] Hyaluronidase also has been used to improve liquefaction in the cysts. [1617] Steroids probably arrest the secretions from mesenchymal cells at the cyst wall.…”

Section: Discussionmentioning

confidence: 99%

Double dart technique of instillation of triamcinolone in ganglion over the wrist

Paramhans¹,

Nayak²,

Mathur³

et al. 2010

J Cutan Aesthet Surg

View full text Add to dashboard Cite

Background:Ganglia are the most common benign cystic swellings found over both the dorsal and volar aspects of the wrist. In spite of technical advancement, both operative and non-operative interventions achieve more or less similar results. Complete evacuation of gelatinous fluid followed with intra cystic instillation of triamcinolone has given encouraging results.Aims:To assess the efficacy and safety of drainage of cyst and instillation of triamcinolone in wrist ganglion.Materials and Methods:A prospective study was conducted on patients with simple ganglion cysts on the wrist. Total of 219 patients underwent this study. Out of this, 105 patients underwent the aspiration of the cyst fluid followed by intracystic instillation of triamcinolone, and 114 patients underwent surgical excision of wrist ganglia. Two years follow up was done for recurrence.Results:Most ganglia of wrist occurred in the extensor aspect. Complications noted among the surgically excised group were post operative pain and restricted mobility of wrist with a recurrence rate of 21.5%. Instillation of Triamcinolone into the ganglion yielded early resolution with a low recurrence of 8.4%.Conclusions:Intracystic instillation of triamcinolone after complete evacuation of cyst fluid is a simple and effective technique for treatment of ganglion.

show abstract

“…Children with synovial cysts of the wrists are treated with aspiration and injection of corticosteroids. 9 This treatment proved effective in reducing recurrence of the cysts. In our cat, aspiration of the synovial cyst improved the lameness, presumably by reducing intraarticular and soft tissue pressure.…”

mentioning

confidence: 97%

Synovial cyst of the fifth digit in a cat

Hittmair

Maedl²,

Reifinger

et al. 2010

Journal of Feline Medicine and Surgery

View full text Add to dashboard Cite

A synovial cyst of the fifth digit of the left forelimb in a 15-year-old cat was diagnosed. Radiographs showed severe osteoarthritis of the interphalangeal and metacarpophalangeal joints with soft tissue swelling. An ultrasound examination of the digit revealed a cystic structure. Following amputation of the digit, the cyst recurred 3 months later palmar to the carpus and metacarpus. The aetiology of synovial cysts is discussed.

show abstract

Aspiration and triamcinolone acetonide injection of wrist synovial cysts in children

Cited by 22 publications

References 8 publications

Comparative Study of Recurrence and Complications Using Various Sclerosants by Single Dart Technique in Treatment of Ganglion Cysts

Comparative Study of Recurrence and Complications Using Various Sclerosants by Single Dart Technique in Treatment of Ganglion Cysts

Double dart technique of instillation of triamcinolone in ganglion over the wrist

Synovial cyst of the fifth digit in a cat

Contact Info

Product

Resources

About