The treatment of dorsal wrist ganglia by radical excision

Clay, Nigel; Clément, D

doi:10.1016/0266-7681(88)90135-0

Cited by 93 publications

(65 citation statements)

References 16 publications

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“…Since the adoption of surgical techniques that include excision of the entire ganglion complex, including cyst, pedicle, and a cuff of the adjacent joint capsule, recurrence rates have improved significantly. Some authors claim recurrence rates for dorsal wrist ganglia as low as 1e5% 3 and as low as 7% for volar wrist ganglia. 9 Generally, higher reported rates of recurrence are attributed to inadequate dissection in which the tortuous duct system located at the joint capsule is not fully excised.…”

Section: 11mentioning

confidence: 99%

“…Thirteen to twenty percent of ganglia are found on volar aspect of wrist, arising via a pedicle from radio scaphoid-scapholunate interval, scaphotrapezial joint, or metacarpotrapezial joint, in that order of frequency. 3 Ganglia arising from a flexor tendon sheath in the hand account for approximately 10%. Occurrence in other joints as well as intraosseus and intratendinous ganglia are much less common (Fig.…”

Section: Introductionmentioning

confidence: 99%

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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: 11mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

RETRACTED: Dorsal wrist ganglion: Current review of literature

Meena¹,

Gupta²

2014

Journal of Clinical Orthopaedics and Trauma

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“…8,9 Open surgical excision of the ganglion cyst has lowered the recurrence rate to 10% to 40%. 2,3 The key to open surgical excision is identification of the stalk and its removal from the base of the scapho-lunate interosseous ligament along with the surrounding capsule. In open surgical excision, the patient is trading a "bump" for a scar.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic resection of dorsal wrist ganglion

et al. 2016

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INTRODUCTIONGanglions are the most common causes of focal masses of the hand and wrist. They arise from the synovium of joints or tendon sheaths. Dorsal wrist ganglion is the most common type of ganglion arising from the hand.1 The exact etiology is not known and the most common site of origin is the dorsal scapho-lunate ligament. A one way valve is believed to exist which allows the fluid to enter the swelling from the joint and appear most commonly between the second and fourth extensor tendon compartment.2 The management of dorsal wrist ganglion ranges from benign neglect to open surgical excision. The key to open surgical excision is identification of the ganglion stalk and excision from the base.Open surgical excision is associated with morbidities like numbness around the scar, wrist stiffness, cosmetically unacceptable scar and a recurrence rate ranging from 10% to 40%. 2,3 Wrist arthroscopy has been an innovation in recent times with increasing application for managing wrist pathologies. Arthroscopic resection of dorsal wrist ganglion has advantages of a minimally invasive surgery, early return to function, a more cosmetically acceptable ABSTRACT Background: The management of dorsal wrist ganglion ranges from benign neglect to surgical excision. The purpose of this study was to study the results of arthroscopic resection of dorsal wrist ganglion. Methods: Twenty one patients who had undergone arthroscopic dorsal wrist ganglion excision and a minimum of 3 months follow up were included. The preoperative complaint of cosmesis, pain, and duration of swelling, wrist range of motion and size of the ganglion were noted. The duration the patient took to return to a painless wrist with full range of motion was noted. Patient satisfaction with respect to cosmesis and function was noted. Results: The mean age was 23.3 years (range: 13 to 35 years). Pre-operative wrist pain was present in 17 patients and cosmesis was a complaint in 18 patients. 5 patients had a pre-operative restricted range of motion. The mean duration and size of the ganglion was 2.6 months (range: 2 to 4 months) and1.8cm (range: 1 to 3 cm) respectively. The mean duration of follow up was 14.6 months (range: 3 to 24 months). Arthroscopically, dorsal synovitis was present in 10 patients, triangular-fibro-cartilage-complex (TFCC) tear in 2 patients and chondral damage in 1 patient. The ganglion stalk was visualized in 14 patients. Complete painless wrist range of motion was obtained by 20 patients by 3 weeks post-operative. One patient had a recurrence. All the remaining patients were satisfied cosmetically and functionally with the results. Conclusions: Arthroscopic resection is an effective treatment modality for symptomatic dorsal wrist ganglion with good functional and cosmetic results.

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“…1 Open excision of dorsal wrist ganglions has a recurrence rate of 1% to 14%. 6,9,10 Risks of open excision include infection, neuroma, scarring, and keloid formation. Postoperative stiffness, grip weakness, decreased range of motion, and pain may also occur.…”

Section: Figmentioning

confidence: 99%

Dry Arthroscopic Excision of Dorsal Wrist Ganglion

Gray

Zuhlke

Eizember

et al. 2017

Arthroscopy Techniques

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Ganglions are common soft tissue masses of the hand. High recurrence rates are associated with nonsurgical treatment; thus, excision is often indicated. Arthroscopic excision and open excision have similar recurrence rates; however, the latter is associated with prolonged healing time and increased scarring. Recently, dry wrist arthroscopic techniques have been used. This technique allows easier confirmation of complete ganglion removal, easier conversion to open surgery, earlier return of motion, and stitch-less closure when compared with traditional "wet" arthroscopic excision. 3 Recently dry wrist arthroscopic techniques have been described. 4,5 This technique may be employed to remove ganglions. Dry wrist arthroscopy has several advantages over standard the "wet" technique due to avoidance of fluid extravasation and associated swelling: (1) easier visualization and palpation of the ganglion during surgical removal allowing for more accurate confirmation of complete removal, (2) easier conversion to open surgery if arthroscopic removal fails, (3) faster rehabilitation and return of motion, and (4) stitchless closure (steri strips are adequate) allowing for reduced scarring and improved cosmesis.We present our technique for dry arthroscopic wrist ganglionectomy.

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The treatment of dorsal wrist ganglia by radical excision

Cited by 93 publications

References 16 publications

RETRACTED: Dorsal wrist ganglion: Current review of literature

RETRACTED: Dorsal wrist ganglion: Current review of literature

Arthroscopic resection of dorsal wrist ganglion

Dry Arthroscopic Excision of Dorsal Wrist Ganglion

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