Current Treatment of Ganglion of the Wrist

Ho, Pak‐Cheong; Griffiths, J.; Lo, Wing-Nin; Yen, Ching‐Yu; Hung, L.K.

doi:10.1142/s0218810401000540

Cited by 56 publications

(40 citation statements)

References 29 publications

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“…Previously, there had been no consensus as to whether entering the midcarpal joint is necessary when arthroscopically resecting ganglion cysts. Ho et al 40 reported 2 recurrences after resection of ganglion cysts originating from the midcarpal joint, and ultimately concluded that arthroscopic resection was not indicated for cysts originating from this area. Another series reported success with arthroscopic resection of dorsal midcarpal ganglion cysts, but their cohort was small.…”

Section: 24mentioning

confidence: 99%

RETRACTED: Dorsal wrist ganglion: Current review of literature

Meena¹,

Gupta²

2014

Journal of Clinical Orthopaedics and Trauma

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Ganglion Arthroscopy AspirationGanglion cyst a b s t r a c t Ganglion cyst is the most common soft tissue tumour of hand. Sixty to seventy percent of ganglion cysts are found in the dorsal aspect of the wrist. They may affect any age group; however they are more common in the twenties to forties. Its origin and pathogenesis remains enigmatic. Non-surgical treatment is unreliable with a high recurrence rates.Open surgical excision leads to unsightly scar and poor outcome. Arthroscopy excision has shown very promising result with very low recurrence rate. We reviewed the current literature available on dorsal wrist ganglion.

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Section: 24mentioning

confidence: 99%

RETRACTED: Dorsal wrist ganglion: Current review of literature

Meena¹,

Gupta²

2014

Journal of Clinical Orthopaedics and Trauma

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“…Other studies have reported the incidence of stalks to range from 9% to 30% [7,10,19]. In our study, discrete stalks were identified in only nine of 41 (22%) patients.…”

Section: Discussioncontrasting

confidence: 55%

“…Accordingly, arthroscopic resection has been proposed as a potentially more favorable alternative to open resection, with recurrence rates of 0% to 11% [11,12,15,16] and improved pain, grip strength, and wrist motion [1,2,[7][8][9][10]. Further, arthroscopic resection reportedly is associated with no scaphoid subluxation or chronic scapholunate instability attributable to ligament injury during surgery that has been reported after open resection [2,3,8,11,12,16], and an improved cosmetic appearance [11].…”

Section: Introductionmentioning

confidence: 99%

Coexisting Intraarticular Disorders Are Unrelated To Outcomes After Arthroscopic Resection of Dorsal Wrist Ganglions

Kang¹,

Koh²,

Kim³

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Dorsal wrist ganglions are one of the most frequently encountered problems of the wrist and often are associated with intraarticular disorders. However, it is unclear whether coexisting intraarticular disorders influence persistent pain or recurrence after arthroscopic resection of dorsal wrist ganglions. Questions/purposes We investigated (1) which intraarticular disorders coexist with dorsal wrist ganglions and (2) whether they influenced pain, function, and recurrence after arthroscopic ganglion resection. Methods We retrospectively reviewed 41 patients with primary dorsal wrist ganglions who underwent arthroscopic resection. We also obtained VAS pain scores and the Mayo Wrist Scores (MWS) preoperatively and at 2 weeks, 6 weeks, 3 months, 6 months, 1 year, and annually thereafter postoperatively. Minimum followup was 24 months (mean, 38.9 months; range, 24-60 months).Results Twenty-one patients had other coexisting intraarticular disorders: 18 triangular fibrocartilage complex tears and nine intrinsic ligament tears. All coexisting disorders were treated simultaneously. Two years after surgery, the mean VAS pain score decreased from 2.4 to 0.6, and mean grip strength increased from 28 to 36 kg of force. The mean active flexion-extension showed no change. The mean MWS improved from 74 to 91. Three ganglions recurred. There was no difference in mean VAS pain score and MWS preoperatively and at 2 years after surgery or recurrence of ganglions between patients with or without coexisting lesions. Conclusions Intraarticular disorders commonly coexist with ganglions but we found they were unrelated to pain, function, and recurrence after arthroscopic resection of the ganglion when the intraarticular disorders were treated simultaneously.

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“…Ho et al 16 concluded that sclerotherapy may be an alternative to surgery in the treatment of ganglions. Linetsky 17 described that sclerotherapy may be applicable to treat many symptomatic cysts of the musculoskeletal system.…”

Section: Discussionmentioning

confidence: 99%

Aspiration Alone, Aspiration Plus Steroid Injection and Aspiration Plus Ethanol Injection for Treatment of Dorsal Wrist Ganglions: A Comparative Study among Three Methods

Rahim

2016

J Enam Med Col

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Ganglions are the most common tumor-like conditions in the hand and wrist. These usually arise from a pedicle in tendon sheath or joint capsule and are located over scapholunate ligament. About 60-70% ganglion cysts are found on dorsal aspect of the wrist. Ganglions are more prevalent in women, and generally seen from the second decades through fourth decades of life. Patients usually seek medical treatment because of the mass, pain, weakness, or fear of a malignancy. 1,2 Westbrook et al 3 conducted a study on 50 patients with ganglion cysts and found the following reasons for treatment: 36% for cosmetic appearance, 28% for malignancy, 26% for pain, and 8% for abnormal function.There are varieties of modalities for treatment of ganglion cysts. These are observation, aspiration, intralesional steroid injection, sclerotherapy, arthroscopic resection, or surgical excision, but no one of these has been the standard or best treatment. 4 Aspiration may provide long term relief and has been reported to be effective in 20-30% of the patients. 2 Sclerotherapy involves aspiration of the cyst followed by injection of a sclerosant solution into the cyst cavity.5 Surgical excision is best reserved for patients with persistent symptomatic ganglions.

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Current Treatment of Ganglion of the Wrist

Cited by 56 publications

References 29 publications

RETRACTED: Dorsal wrist ganglion: Current review of literature

RETRACTED: Dorsal wrist ganglion: Current review of literature

Coexisting Intraarticular Disorders Are Unrelated To Outcomes After Arthroscopic Resection of Dorsal Wrist Ganglions

Aspiration Alone, Aspiration Plus Steroid Injection and Aspiration Plus Ethanol Injection for Treatment of Dorsal Wrist Ganglions: A Comparative Study among Three Methods

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