Ressecção artroscópica do cisto sinovial volar do punho: Técnica cirúrgica e série de casos

Abstract

Objectives To describe the technique and results of the arthroscopic surgical treatment of volar ganglion cyst of the wrist. Materials and Methods The present study comprised 21 patients submitted to the arthroscopic treatment of volar ganglion cysts of the wrist from January 2015 to May 2017, with a full evaluation for at least 6 months. The technique was indicated for patients presenting pain and functional impairment for more than four months, with no improvement with the conservative treatment, or for those with cosmetic complaints and cyst present for more than three months. Results The mean age of the patients was 43.6 years; 16 (76%) patients were female, and 5 (24%) were male. The mean follow-up time from surgery to the final assessment was of 10.9 months. A total of 2 (9.6%) patients complained of mild pain after the procedure, and another patient presented slight motion restrictions. The 18 (90.4%) remaining patients reported cosmetic improvement, complete functional recovery, and pain improvement. There were no recurrences or infections. No patient required further surgery. Conclusions The arthroscopic resection of volar ganglion cysts is a useful and safe technique. It is a minimally-invasive procedure, with low morbidity and very few complications, representing a good alternative to the open technique.

360-degree Arthroscopic Management of Scaphoid Pseudarthrosis: Description of Technique and Indications

“…For this reason, some authors have already described the use of portals located in the volar and radial regions in the treatment of scaphoid pathologies, although always in isolation and adjuvant to dorsal portals. 15,18,24,25 Golubev 26 showed the use of the volar portal, located between the flexor carpi radialis tendon and the radial artery, to obtain scaphoid elongation in his arthroscopic technique for the treatment of SPA without compression of the site of the injury. He even emphasized that with the use of an accessory volar portal, correction of the scaphoid deformity is achieved in a more effective, safe, and predictable way.…”

“…With technical improvement, volar and radial portals were described to compensate for limitations found in visualization through dorsal portals, with the access and repair of dorsal structures that are inaccessible through dorsal portals being our main purpose. For this reason, some authors have already described the use of portals located in the volar and radial regions in the treatment of scaphoid pathologies, although always in isolation and adjuvant to dorsal portals 15,18,24,25 . Golubev 26 showed the use of the volar portal, located between the flexor carpi radialis tendon and the radial artery, to obtain scaphoid elongation in his arthroscopic technique for the treatment of SPA without compression of the site of the injury.…”

Arthroscopic Needling Technique for the Treatment of Wrist Ganglia

“…Thus, we recommend that the surgeon should be capable to perform the classic shaver technique before using the above-described technique. 15…”