Arthroscopic ganglionectomy of the foot and ankle

Lui, Tun Hing

doi:10.1007/s00167-012-2065-8

Cited by 32 publications

(27 citation statements)

References 35 publications

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“…Endoscopic management of ganglion can be either endoscopic resection of the ganglion sac or internal drainage of the ganglion to the adjacent joint 14 . In this illustrated case, the ganglion is multiseptate and abuts onto the ECU tendon.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Ganglionectomy and Release of the Sixth Extensor Compartment

Lui¹,

Lau²

2019

Arthroscopy Techniques

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Stenosing tenosynovitis of the extensor carpi ulnaris is one of the causes of dorsoulnar wrist pain. Conservative treatment is usually effective to alleviate the pain. Surgical release of the retinaculum of the sixth extensor compartment is indicated if conservative treatment cannot alleviate the pain. The purpose of this Technical Note is to describe the technical details of endoscopic release of the sixth extensor compartment via a 2-portal approach. Endoscopic resection of a ganglion over the sixth compartment can also be performed via the same approach.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Ganglionectomy and Release of the Sixth Extensor Compartment

Lui¹,

Lau²

2019

Arthroscopy Techniques

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“…However, the rate of recurrence after surgical excision is reported at 43% . This rate appears to be further influenced by the distribution of ganglion across and within anatomic sites . For example, recurrence rates are highest in the foot and within the dorsum of the foot, specifically .…”

Section: Discussionmentioning

confidence: 99%

Ultrasound‐Guided Ganglionectomy of a Flexor Hallucis Longus Ganglion Cyst Using Coablation Technology: A Case Report

Lancaster

Colberg

2019

PM&R

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A 44‐year‐old woman with a history of an open ganglionectomy 2 years prior presented with a recurrent ganglion cyst. The ganglion cyst, extending from the flexor hallucis longus tendon sheath, was confirmed with magnetic resonance imaging. The patient declined another surgical incision. An experimental procedure was performed: ultrasound‐guided ganglionectomy using a coablation wand. She achieved full symptom resolution, with no recurrence 1 year afterwards. To our knowledge, this is the first case report in the literature describing the use of this instrument for treating a ganglion cyst.

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“…In case the sac is adherent to the skin, resection of part of the tendon sheath can also be performed to achieve internal drainage of the sac to the tendon sheath. 22 In both situations, there is potential risk of seeding of diseased synovium or loose bodies into the peroneal tendon sheath, leading to secondary tenosynovial chondromatosis. However, the risk is minimized by complete synovectomy and removal of loose bodies before resection of the bursal sac.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Resection of the Lateral Ankle Bursa With Synovial Chondromatosis

Lui¹

2016

Arthroscopy Techniques

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Bursal chondromatosis is synovial chondromatosis of the bursae. It is a rare disease entity that can involve the adventitial bursa of the lateral ankle. Complete synovectomy, removal of loose bodies, and bursectomy comprise the treatment of choice. Detailed preoperative radiologic assessment and surgical planning are the keys to success. Any accompanying synovial chondromatosis of the ankle or subtalar joint or tenosynovial chondromatosis of the peroneal tendon sheath should be treated together with the bursectomy. Endoscopic bursectomy can be performed through the bursal portal. The proximal and distal peroneal tendoscopy portals serve as viewing portals. The resection of the diseased tissues should be performed in a step-by-step zonal manner. Complete synovectomy and removal of loose bodies should be performed before bursectomy. Internal drainage of the bursal sac into the peroneal tendon sheath may be indicated if the sac is adherent to the skin. It should only be performed after complete synovectomy and removal of loose bodies.

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Arthroscopic ganglionectomy of the foot and ankle

Abstract: Arthroscopic ganglionectomy of the foot and ankle ganglion by either internal drainage or complete resection is a feasible approach. Good results can be achieved in case of adequate internal drainage of the ganglion to the joints or fibrous tendon sheath.

Cited by 32 publications

References 35 publications

Endoscopic Ganglionectomy and Release of the Sixth Extensor Compartment

Endoscopic Ganglionectomy and Release of the Sixth Extensor Compartment

Ultrasound‐Guided Ganglionectomy of a Flexor Hallucis Longus Ganglion Cyst Using Coablation Technology: A Case Report

Endoscopic Resection of the Lateral Ankle Bursa With Synovial Chondromatosis

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