Incidence and Risk Factors for Volar Wrist Ganglia in the U.S. Military and Civilian Populations

Balazs, George C.; Dworak, Theodora C.; Tropf, Jordan; Nanos, George P.; Tintle, Scott M.

doi:10.1016/j.jhsa.2016.08.008

Cited by 10 publications

(22 citation statements)

References 29 publications

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“…The United States (US) Department of Defense maintains a central database of clinical encounters for all enrollees in the Military Health System, including active duty servicemembers, dependents, and retirees. After institutional review board approval, the clinical data for all US Department of Defense Military Health System enrollees—including all inpatient and outpatient clinical encounters compiled within the central Military Health System Data Repository—were analyzed with the Management Analysis and Reporting Tool as described by Balazs et al 3 The database was searched for all patients with a Current Procedural Terminology (CPT) code for biceps tenodesis or tenotomy (29828, 23430, and 23440) between January 2013 and December 2016. The CPT code for biceps tenotomy was included during screening in the event that a biceps tenodesis was miscoded at the time of surgery.…”

Section: Methodsmentioning

confidence: 99%

Incidence and Characteristics of Humeral Shaft Fractures After Subpectoral Biceps Tenodesis

Overmann

Colantonio

Wheatley

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background: Biceps tenodesis is a procedure that can address biceps and labral pathology. While there is an increased risk of humeral fracture after biceps tenodesis, it has been described only in case reports. Purpose: To identify the incidence, demographics, and characteristics of humeral shaft fractures after biceps tenodesis. Study Design: Case series; Level of evidence, 4. Methods: The US Military Health System Data Repository was searched for patients with a Current Procedural Terminology code for biceps tenodesis between January 2013 and December 2016. The cohort of identified patients was then searched for those assigned a code for humeral fracture per the International Classification of Diseases, 9th Revision and 10th Revision. The electronic health records and radiographs of patients who were diagnosed with a humeral fracture were then evaluated to confirm that the fracture was related to the biceps tenodesis. Records were then reviewed for patient demographics, radiographs, operative reports, and clinical notes. Results: A total of 15,085 biceps tenodeses were performed between January 2013 and December 2016. There were 11 postoperative and 1 intraoperative humeral fractures. The incidence of fracture was <0.1%. All fractures were extra-articular spiral fractures that propagated through the tenodesis site. Eight patients were treated with functional bracing, 3 with open reduction and internal fixation, and 1 with a soft tissue biceps tenodesis revision. Of 8 patients successfully treated nonoperatively, 6 regained full range of shoulder motion. Only 2 of the 4 patients who required operative treatment regained full range of shoulder motion. Conclusion: Humeral shaft fracture after biceps tenodesis is a rare complication that occurs in 7.9 out of 10,000 cases. Fractures occurred after various methods of fixation, including suture anchor, cortical button, and interference screw. Most patients were initially treated nonoperatively, and those who healed usually achieved full range of motion; however, those who required operative intervention often had restricted range of motion on final follow-up. Future studies should determine risk factors for fracture after biceps tenodesis.

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Section: Methodsmentioning

confidence: 99%

Incidence and Characteristics of Humeral Shaft Fractures After Subpectoral Biceps Tenodesis

Overmann

Colantonio

Wheatley

et al. 2019

Orthopaedic Journal of Sports Medicine

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“…11 About 70% of ganglion cysts arise dorsally from the region of the scapholunate ligament or adjacent tissues, and they communicate with the joint via a pedicle. 12,13 Up to 20% arise from the volar aspect of the wrist, with pedicles arising from the radioscaphoid, scaphotrapezial, or carpometacarpal joint. The volar ganglion typically is found between the radial artery and the flexor carpi radialis tendon.…”

Section: Pseudotumors Ganglion Cystsmentioning

confidence: 99%

“…The volar ganglion typically is found between the radial artery and the flexor carpi radialis tendon. 13 Approximately 10% arise from the region of the flexor tendon sheath. Ganglion cysts may also arise from the dorsal aspect of the distal interphalangeal joint in the context of osteoarthritis, so-called mucous cysts.…”

Section: Pseudotumors Ganglion Cystsmentioning

confidence: 99%

“…Complex ganglion cysts may have internal septations and be thick walled. 13 Internal echogenic foci may also be present in small ganglion cysts. 12 A connection with the underlying joint should be sought because this may require excision to avoid recurrence (►Fig.…”

Section: Pseudotumors Ganglion Cystsmentioning

confidence: 99%

“…50 Large lesions may have hyperechoic calcifications and contain degenerative cystic foci (►Fig. 13). Ancient schwannomas may have large areas of cystic change and may demonstrate hemorrhage and calcifications.…”

Section: Neural Tumorsmentioning

confidence: 99%

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Hand Masses

Teh

Shahabpour

Drapé

et al. 2021

Semin Musculoskelet Radiol

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Hand and wrist soft tissue masses may be classified as pseudotumors, benign neoplasms, or malignant neoplasms. The vast majority of hand lesions are benign. Consideration of the location of the lesion and its imaging characteristics often leads to a specific diagnosis. Pseudotumors discussed in this article are ganglion cysts, accessory muscles, and inflammatory lesions. True tumors are described according to their tissue type: nerve sheath tumors, adipocytic tumors, so-called fibrohistiocytic tumors, pericytic tumors, and vascular lesions. We also outline the imaging features of masses encountered in the hand and wrist.

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Ganglion Cysts of the Wrist

Waldman¹

2019

Atlas of Common Pain Syndromes

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Incidence and Risk Factors for Volar Wrist Ganglia in the U.S. Military and Civilian Populations

Cited by 10 publications

References 29 publications

Incidence and Characteristics of Humeral Shaft Fractures After Subpectoral Biceps Tenodesis

Incidence and Characteristics of Humeral Shaft Fractures After Subpectoral Biceps Tenodesis

Hand Masses

Ganglion Cysts of the Wrist

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