Ganglia in Children

Satku, K; Ganesh, Balasubramaniyan Amirtha

doi:10.1097/01241398-198501000-00003

Cited by 40 publications

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“…It has been reported that volar ganglions predominate in patients less than 10 years of age [8], and our results are in agreement. Thirty-three percent of the pediatric ganglions we treated arose from tendon sheaths, which is slightly less than the 35% reported by Colon and Upton [2].…”

Section: Discussionsupporting

confidence: 93%

“…Further, some ganglions resolve spontaneously and are never reported to health care practitioners. We divided our patients into groups after reviewing data indicating that hand and wrist ganglions are most commonly volar in patients less than 10 years old [8]. They were also divided based on the decision to undergo surgery, which we reasoned was entirely the parents' decision in group I, with the patient likely providing more input in groups II and III.…”

Section: Discussionmentioning

confidence: 99%

“…Pediatric hand and wrist ganglions seem to have different epidemiologic characteristics than those of adults, as a majority are found on the volar aspect of the hand and wrist in patients less than 10 years of age [8]. Although the most effective method of treatment is debatable, observation and splinting have been shown to be the most effective methods [5], and observation remains the most common treatment modality.…”

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confidence: 99%

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Pediatric Ganglion Cysts of the Hand and Wrist: An Epidemiologic Analysis

Coffey

Rahman

Thirkannad

2008

Hand (New York, N,Y.)

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We analyzed all hand and wrist ganglions in patients aged 12 years and younger that were treated at our institution during a 3-year period. Our patients were predominately female (1.8:1). Volar ganglions were more common (1.2:1), whereas dorsal ganglions have been reported to be more common in adults. Ganglions had a higher incidence of arising from tendon sheaths in our patients (33%) compared to what has been previously reported for ganglions in studies of all age groups (5% to 16%). While observation and/or splinting alone will likely be helpful in resolution of a majority of pediatric hand and wrist ganglions, surgical excision should be employed in those that are symptomatic and/or do not resolve with observation.Keywords Ganglion . Pediatric . Hand . Wrist Ganglion cysts are mucinous tumors that usually arise from underlying joint capsules or tendon sheaths and are the most common soft tissue masses of the hand [4]. Wrist ganglions in adults are predominantly dorsal [4] and are most commonly treated with surgical excision; however, observation and aspiration are employed as well.While a multitude of data exist for adult hand and wrist ganglions, there is a paucity of data for the pediatric population. With an incidence of 10% in the population under the age of 20 and 2% of those under the age of 10 [4], pediatric ganglions are likely underreported, as they are typically asymptomatic lesions that do not cause functional problems.Pediatric hand and wrist ganglions seem to have different epidemiologic characteristics than those of adults, as a majority are found on the volar aspect of the hand and wrist in patients less than 10 years of age [8]. Although the most effective method of treatment is debatable, observation and splinting have been shown to be the most effective methods [5], and observation remains the most common treatment modality.The aims of this study were to determine the most common site of pediatric hand and wrist ganglions and also the most effective method of treatment with regards to recurrence rate. Materials and MethodsWe included in this study all patients aged 12 years and younger who presented with hand and wrist ganglions during a 3-year period (2004 to 2007). Patients' age, gender, time interval between onset and presentation, method of treatment, and follow-up time were all recorded. Factors such as injury (which could lead to ganglion formation) were documented, as well as presenting symptoms such as discomfort and/or pain. In patients treated surgically, the origin of the ganglion was also documented. Patients were divided into three groups: group I consisted of children aged 5 years or less, group II children from 6 to 10 years of age, and group III children aged 11-12. ResultsDuring a 3-year period, 1,629 patients were treated at our institution for hand and wrist ganglions. Of these 1,629 patients, 48 were children aged 12 and under and were HAND

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Pediatric Ganglion Cysts of the Hand and Wrist: An Epidemiologic Analysis

Coffey

Rahman

Thirkannad

2008

Hand (New York, N,Y.)

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“…Therefore, surgical treatment is recommended only in symptomatic cases and those resistant to conservative therapy (Thornburg, 1999). High incidence of recurrence (0-40%) has been reported in the literature (Satku and Ganesh, 1985;Haber et al, 2002). The high recurrence rates after total excision may be associated with the improper excision (Satku and Ganesh, 1985).…”

Section: Discussionmentioning

confidence: 99%

“…High incidence of recurrence (0-40%) has been reported in the literature (Satku and Ganesh, 1985;Haber et al, 2002). The high recurrence rates after total excision may be associated with the improper excision (Satku and Ganesh, 1985). Surgical excision was performed to each of our cases due to their complaints.…”

Section: Discussionmentioning

confidence: 99%

Unusual localization of ganglion cyst: two case reports

Göçer¹,

Ulusoy²,

Çıraklı³

et al. 2014

jecm

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Article HistoryReceived 14 / 08 / 2013 Accepted 01 / 10 / 2013Ganglion cysts are cystic lesions originating from the joint capsule or tendon sheath. They are the most common type of soft tissue tumors in hand, wrist and foot. They are more frequent at the age of 30-50 and women are more likely to be affected than men. Differential diagnosis includes lipoma, fibroma, osteoma, sarcoma, tuberculosis, rheumatoid tenosynovitis and aneurysm. Although most commonly found in hand and wrist, ganglion cysts may also occur in the dorsal surface of the foot. In this study, we evaluated two cases of ganglion cyst located in the plantar surface of the toe, a localization that has rarely been encountered in the literature. Pathology results supported our diagnosis of ganglion cyst and no recurrence was observed during 6-month follow-up.

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Case 44

Pediatric and Adolescent Musculoskeletal MRI

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Ganglia in Children

Cited by 40 publications

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Pediatric Ganglion Cysts of the Hand and Wrist: An Epidemiologic Analysis

Pediatric Ganglion Cysts of the Hand and Wrist: An Epidemiologic Analysis

Unusual localization of ganglion cyst: two case reports

Case 44

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