Surgical Excision Versus Aspiration Combined with Intralesional Triamcinolone Acetonide Injection Plus Wrist Immobilization Therapy in the Treatment of Dorsal Wrist Ganglion; A Randomized Controlled Trial

Khan, Parwez Sajad; Hayat, Humera

doi:10.1007/s12593-011-0039-6

Cited by 33 publications

(40 citation statements)

References 5 publications

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“…The mean follow-up period of 6.3 years reported in the present study is relatively long compared with most other studies reporting recurrence data following aspiration of wrist ganglions (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Despite the long follow-up period, the recurrence rate in the present series (52.4%) is consistent with other reported recurrence rates of shorter duration (15).…”

Section: Discussionsupporting

confidence: 88%

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Long-term outcomes and patient satisfaction following wrist ganglion aspiration

Head¹,

Allen²,

Boyd³

2015

CAN J PLAST SURG

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Ganglions are the most common benign soft tissue tumours of the hand and wrist (1). The indications for treatment include pain, stiffness, weakness and cosmetic concern. There are many potential treatment modalities but aspiration is the most common. Although there is a large body of evidence addressing short-term outcomes following aspiration, few studies have reported long-term outcomes and even fewer have reported patient satisfaction following treatment. The objective of the present study was to evaluate patient satisfaction and the long-term rate of recurrence following wrist ganglion aspiration. METHODSFollowing Ottawa Health Science Network Research Ethics Board (Ottawa, Ontario) approval, a retrospective study was initiated. Charts of all patients with a single dorsal or volar wrist ganglion treated between 2001 and 2011 were reviewed; patients with multiple ganglions were excluded. A single surgeon treated all patients. When patients desired intervention for their symptomatic ganglion, the surgeon's practice was to treat with aspiration and not surgical excision. Ganglions were aspirated using an 18-gauge needle, and the surgeon facilitated aspiration by massaging the ganglion fluid toward the aspirating needle with a finger. Demographic (date of birth, treatment date, sex) and clinical data (ganglion location, size, treatment, reason for seeking treatment) were retrieved from electronic patient records. Patients were contacted by telephone and asked to complete a questionnaire addressing recurrence, satisfaction and symptomatic improvement (pain, function, range of motion, appearance). Symptomatic improvement was assessed using a Likert scale from 1 to 5, with 1 indicating 'significantly worse' and 5 indicating 'significantly improved'. Statistical analysis was performed using Pearson χ 2 , Mann-Whitney-Wilcoxon and Fisher's exact tests. RESULTSA total of 41 consecutive patients, all treated with aspiration, were identified using hospital records. Of the 41 patients, 21 (51%) consented to the telephone questionnaire, 17 could not be reached due to inadequate hospital records or change in address, one was deceased and two did not consent (Figure 1). Demographic and clinical data from the 41 patients are shown in Table 1. There were no differences in demographic or clinical data between patients who completed the telephone questionnaire and those who did not.Among the 21 patients who completed the telephone questionnaire, the mean (± SE) time to follow-up was 6.3±0.4 years. The rate BACKgROUND: There is a strong body of evidence addressing shortterm outcomes following wrist ganglion aspiration; however, few studies have investigated long-term outcomes and patient satisfaction. OBJECTIVE: To evaluate patient satisfaction and the long-term rate of recurrence following wrist ganglion aspiration. METHODS: Charts of all patients with a wrist ganglion treated by a single surgeon from 2001 to 2011 were reviewed. Demographic and clinical data were retrieved from patient charts. Patients were contacted by telepho...

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Section: Discussionsupporting

confidence: 88%

“…This finding reflects the relatively low rate of complications reported for wrist ganglion aspiration in the literature. Reported complication rates for aspiration range from 0% to 5% (5,8,13) and must be clearly explained to patients before intervention.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcomes and patient satisfaction following wrist ganglion aspiration

Head¹,

Allen²,

Boyd³

2015

CAN J PLAST SURG

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“…Ganglion are one most common soft tissue tumors encountered [6] . In-spite of the common occurrence of these cystic lesion, there are various treatment protocols practiced till date.…”

Section: Discussionmentioning

confidence: 99%

“…It is one of the most common soft tissue tumors, accounting for about 60-70% of soft tissue tumors [6] Though this is very commonly encountered problem, there is no fixed treatment protocol. Ganglion is cystic lesion usually found on the dorsum of the wrist but also can be seen on the volar aspect of wrist and on the dorsal aspect of the ankle.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of ganglion by “needling”: By transfixation suture, an effective and cosmetic way

Patil¹

2018

Int. J. Orthop. Sci.

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Ganglion is commonly encountered problem across all age groups. It is one of the most common soft tissue tumors. Most commonly, patients seek treatment for cosmetic reason. Though there are variety of treatment options available, but very few are effective and cosmetically acceptable. Treatments like aspiration alone or in conjunction with hyaloronic acid or triamcinalone have higher recurrence rates. Hitting with book or bible is of historical significance. Surgical excision is best option available, but, leaves scar behind. In these circumstances, treatment by transfixation by no 1 mersilk suture under local anaesthesia on outpatient basis. This is effective as well as cosmetically acceptable method of treatment. In our series of 32 patients, which were treated by transfixation suture, had minimal complication. Silk used in this method helps in making track for escape of ganglion contents following initial procedure. And retaining suture lets the contents escape out and it produces fibrosis within ganglion lining. Thus reducing the chances of recurrences, compared to plain needling. As we call it "needling" is an excellent method with low recurrence, comparable to surgical excision with success rate of 90%.

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