Sclerotherapy With 75% Hypertonic Glucose to Treat Dorsal Synovial Cysts of the Wrist

Abstract

Objective: To evaluate the cure rate for dorsal synovial cysts of the wrist with aspiration and percutaneous sclerotherapy using 75% hypertonic glucose. Methods: We enrolled 45 patients older than 18 years with untreated dorsal synovial cysts of the wrist. They underwent percutaneous aspiration and sclerotherapy with 75% hypertonic glucose 75%. A maximum of two procedures were conducted for each cyst at a 4-week interval. We analyzed age, sex, affected side, history of previous trauma, wrist goniometry, grip strength, wrist pain by the visual analogue scale, complications, and hand function questionnaire scores. Results: We evaluated 45 patients (30 female, 15 male, mean age 38.2 years with 47 cysts). Four weeks after the first procedure, 72.3% cysts were palpable and visible. At 24 weeks after the first procedure, 57.4% cysts evolved to cure and 42.6% persisted. Conclusion: Treatment of dorsal synovial cyst of the wrist with aspiration and percutaneous sclerotherapy using 75% hypertonic glucose achieved a 57.4% cure rate after 24 weeks. Level of Evidence IV, Case series

Tratamento de cisto sinovial dorsal do punho com escleroterapia percutânea utilizando solução salina hipertônica

“…2,8 The diagnosis of the dorsal cyst was made by clinical examination and confirmed by ultrasound examination, as well as in previous studies. 16 The method of performing the procedure called single dart was chosen because it increases the chances of the substance being infiltrated within the cyst, besides causing fewer complications. Follow-up was 24 weeks after initial infiltration, also similar to previous studies.…”

“…2,8 O diagnóstico do cisto dorsal foi feito pelo exame clínico e confirmado pelo exame ultrassonográfico, assim como em estudos prévios. 16 O método de execução do procedimento, denominado single dart, foi escolhido pois aumenta as chances de a substância ser infiltrada dentro do cisto, além de provocar menos complicações. 13 O seguimento foi de 24 semanas após a infiltração inicial, também similar ao de estudos anteriores.…”

“…The diagnosis of the dorsal cyst was made by clinical examination and confirmed by ultrasound examination, as well as in previous studies. 16…”

“…O diagnóstico do cisto dorsal foi feito pelo exame clínico e confirmado pelo exame ultrassonográfico, assim como em estudos prévios. 16…”