The Volar Wrist Ganglion: Just a Simple Cyst?

Jacobs, Leo; Govaers, Kris

doi:10.1016/0266-7681_90_90015-v

Cited by 16 publications

(17 citation statements)

References 5 publications

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“…[19][20][21][22] When removing a volar ganglion cyst surgically, neurovascular structures including the radial artery and branches of the median nerve are particularly vulnerable to damage. 17,23,24 Therefore, the decision to do surgical excision should be based on the severity of the patient's symptoms. Gang and Maktlouf employed the loop suture technique for the 1 st time in 1998.…”

Section: Discussionmentioning

confidence: 99%

Management of ganglion by double loop suture technique

et al. 2023

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Background: Ganglion is a common cystic swelling around wrist presenting in outdoor department, clinical examination is sufficient for making diagnosis of simple cyst, cosmesis and pain are main presenting complain. Treatment includes aspiration with or without injections but has high recurrence rate, surgical excision has low recurrence rate but being invasive there are numerous complications and should be warrant depending on patient complain. Minimal invasive loop suture technique has low recurrence and minimalcomplication. Aims and Objectives: The aim of the study was to manage the ganglion by double loop suture technique. Materials and Methods: One hundred and four patients with volar and dorsal wrist ganglion fulfilling inclusion and exclusion criteria received treatment by minimal invasive loop suture technique, 6-month follow-up was done for reviewing any recurrence of cyst. Results: From these 104 patients, 76 were females and 28 were males, with a median age of 22 years. Ninety-four (90.4%) patients presented with dorsal wrist ganglion and 10 (9.6%) patients had volar wrist ganglion. The size of simple ganglia varied from 10 mm to 32 mm Cosmesis was the most common presenting complaint in 84 patients (80.7%) followed by pain (19.3%). Recurrence of swelling was observed in four patients (3.8%). Complications were encountered in two cases in the form of superficial infection at the site of entry point of threads. Conclusion: Radical surgical excision is gold standard but warranted by patient complains as there are numerous complications. Double loop suture technique is an ambulatory surgical procedure and has very promising results with low recurrence rate and complications.

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Section: Discussionmentioning

confidence: 99%

Management of ganglion by double loop suture technique

et al. 2023

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“…[14][15][16][17] Radical surgery, where ganglia were excised with underlying portion of joint capsule, has low recurrence but high complication rates like persistent pain due of damage to posterior interosseous nerve, scapholunate dislocation, joint stiffness and decreased grip strength. 18 Even arthroscopic resection of dorsal wrist ganglion, that has gained some momentum in recent years, has high recurrence rate and complications. 19 Safer, reliable and minimally invasive out-patient department (OPD) procedure for the management of dorsal wrist ganglion has always been searched for.…”

Section: Discussionmentioning

confidence: 99%

Successful Outcome of Transfixation Technique with Linen in Dorsal Wrist Ganglion: A Descriptive Cross-sectional Study

Thapa

Lakhey

2021

J Nepal Med Assoc

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Introduction: Ganglion is a commonly encountered soft tissue tumor. Most commonly patients seek treatment for cosmetic issues. There are a variety of treatment options available but very few are effective and cosmetically acceptable. Common treatment techniques have either high recurrence rates or have complications. Treatment by transfixation with linen suture under local anaesthesia on an outpatient basis is an upcoming treatment. The objective of the study is to find out the prevalence of successful outcome of transfixation techniques in treatment of dorsal wrist ganglion. Methods: This study is a descriptive cross-sectional study undertaken at a tertiary care center from November 2018 to May 2020. Ethical approval was taken from the same institution. Convenient sampling method was used. Patients presenting with dorsal wrist ganglion and consenting for the transfixation underwent the procedure. All the patients were operated under local anesthesia. Statistical analysis was done using Statistical Package for Social Sciences version 24.0. Point estimate was done at 95% Confidence Interval and frequency and percentage were calculated. Results: Out of 30 cases, 29 (96.66%) have got successful outcomes with transfixation techniques. Among 30 patients, recurrences were seen in 2 (6.66%) cases. Patient satisfaction was high in 27 (90 %) cases. No complication was encountered. Conclusions: Transfixation technique had good results in terms of low recurrence rate, percentage resolution in size and high patient satisfaction.

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“…This review elucidated the unique anatomy of the FCR tendon at the trapezium, listed various for stenosing tenosynovitis with or without associated ganglia, and reported surgical techniques in the treatment of stenosis of the FCR tendon fibro-osseous tendon sheath with or without associated ganglia. 1,2,[11][12][13][14][15][16][17][18] None of the studies specifically ascribed ganglion caused by stenosis of the FCR tendon fibro-osseous tendon sheath. Instead, the published reports attributed the cause of radial volar wrist ganglia to volar joint capsular disruption, arthritic intercarpal joints, or carpal interosseous ganglia.…”

Section: Discussionmentioning

confidence: 99%