Chemical Substances Used in the Treatment of Ganglions Located in the Hand and Wrist

Abstract

The aim of this work was to compare different chemical substances used in the treatment of ganglions located in the hand and wrist region. Their basic properties and mechanisms of action have been described. Moreover, the risks associated with the use of particular substances have been highlighted and potential complications connected with their administration have been discussed. On the basis of the available literature, the results of ganglion aspiration treatment followed by an injection of a chemical substance into the cyst cavity have been assessed. In the authors' opinion, due to the existing risk of complications associated with this treatment, as well as the relatively high rate of ganglion recurrence, this procedure should only be performed by qualified medical personnel. The authors recommend observation in cases of asymptomatic ganglions of the hand and wrist, and operative treatment in cases in which pain, restriction of limb mobility and weakening of handgrip strength are observed.

Tratamento de cisto sinovial dorsal do punho com escleroterapia percutânea utilizando solução salina hipertônica

“…15 Regarding epidemiological characteristics such as gender, age, and affected side, we found characteristics similar to other articles in the literature. 2,8 The diagnosis of the dorsal cyst was made by clinical examination and confirmed by ultrasound examination, as well as in previous studies. 16 The method of performing the procedure called single dart was chosen because it increases the chances of the substance being infiltrated within the cyst, besides causing fewer complications.…”

“…Quanto às características epidemiológicas, como sexo, idade e lado acometido, encontramos características semelhantes às de outros artigos da literatura. 2 8…”

“…Regarding epidemiological characteristics such as gender, age, and affected side, we found characteristics similar to other articles in the literature. 2 8…”

“…1 It is found in patients of all ages, with peak incidence in the age group between second and fourth decade of life and predominantly in females. 2,3 The back of the wrist is the most common site of cyst appearance, with 60 to 70% of all wrist and hand cysts. 3 There are numerous forms of treatment for dorsal cyst described in the literature: observational; puncture and aspiration of the contents of the cyst with or without corticosteroid infiltration; infiltration of sclerosing agents; transcutaneous electrocautery; and surgical (open or arthroscopic).…”

“…1 Ele é ncontrado em todas as idades, com pico de incidência na faixa etária entre a segunda e a quarta década de vida e predominantemente no gênero feminino. 2 3 O dorso do punho é o local mais comum de aparecimento do cisto, contando com 60 a 70% de todos os cistos do punho e da mão. 3…”