Arthroscopic Management of Dorsal and Volar Wrist Ganglion

Mathoulin, Christophe; Gras, Mathilde

doi:10.1016/j.hcl.2017.07.012

Cited by 37 publications

(66 citation statements)

References 21 publications

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“…Likewise arthroscopic dorsal ganglion resection has been performed with satisfactory outcomes since it was first described by Osterman and Raphael (5). The results of our study showed that arthroscopic excision of dorsal wrist ganglions provides respectable clinical outcomes with elevated patient satisfaction, as reported in previous studies (9)(10)(11). The (12) reported that the pain decreased from 3.37 to 1.76 after arthroscopic resection.…”

Section: Discussionsupporting

confidence: 86%

Prospective Outcomes of Arthroscopic Versus Open Resection of Dorsal Wrist Ganglions

Gürpınar¹,

Çarkçı²

2020

Istanbul Med J

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Amaç: Bu çalışmanın amacı artroskopik veya açık yöntemlerle el bileği dorsal ganglion eksizyonu yapılan ve minimum 18 ay takip süresi olan hastaları fonksiyonel skor, rekürrens ve postoperatif ağrı açısından karşılaştırmaktır.Yöntemler: Bu çalışmada el bileği dorsal ganglionu nedeniyle en az altı aylık konservatif tedaviye yanıt alınamamış 20 hasta artroskopik olarak ve 20 hasta açık cerrahi ile opere edilmiştir. Hastaların demografik özellikleri, Kol, Omuz ve El Sorunları Anketi (QuickDASH) skorları, kavrama gücü ve görsel ağrı skorları (VAS) kaydedildi. Her iki grup klinik sonuçlar, operasyon süresi, insizyon uzunluğu, rekürrens ve hasta memnuniyetleri açısından değerlendirildi. ConclusionArthroscopic ganglionectomy has advantages of smaller scars, diagnosing and treating coexisting disorders of the wrist. Disadvantages are steep learning curve and long operating time.

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Section: Discussionsupporting

confidence: 86%

Prospective Outcomes of Arthroscopic Versus Open Resection of Dorsal Wrist Ganglions

Gürpınar¹,

Çarkçı²

2020

Istanbul Med J

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“…STT joint ganglion is thought to arise from the scaphotrapezial joint capsule. 1 The origin of the ganglion can be confirmed with the preoperative ganglion location, ultrasonography, and/or MRI. In contrast with the radiocarpal joint ganglion, the stalk of the ganglion lies over the distal wrist crease around the STT joint.…”

Section: Discussionmentioning

confidence: 98%

“…Among which dorsal wrist ganglion is the most common and most cases arise from the scapholunate interval as shown in previous studies. 1 Volar wrist ganglion accounts for 20% of all cases and occurs mainly in the radiocarpal joint, the mid carpal joint, and the scaphotrapeziotrapezoidal (STT) joint. Most of them are asymptomatic and may disappear spontaneously.…”

mentioning

confidence: 99%

“…For those that are persistent and painful, surgical excision is the treatment of choice. 1,2 Traditionally, this involves open surgery. In the past two decades, resection by arthroscopic means has been established as an alternative treatment option.…”

mentioning

confidence: 99%

“…The recurrence rate has been similar if not superior to those of open surgery. 1 However, arthroscopic resection of volar ganglia in the midcarpal joint has been precluded by some authors. Fernandes et al 3 found it technically difficult and was associated with higher recurrence and complications rates.…”

mentioning

confidence: 99%

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Arthroscopic Resection of Wrist Scaphotrapeziotrapezoidal (STT) Joint Ganglia

Chai

Pérez

et al. 2020

J Wrist Surg

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Background Volar wrist ganglion is the second most common wrist mass and accounts for 20% of all cases. Surgery is the gold standard for persistent and symptomatic ganglia. Arthroscopic resection has gained popularity in the past two decades. Application of this technique to ganglia in less accessible locations, such as the scaphotrapeziotrapezoidal (STT) joint, however, remains controversial. Case Description To date, no literature has described using the STT -ulnar (STT-u) and STT -radial (STT-r) joint portals for ganglionic resection. Literature Review In this report, two cases of arthroscopic ganglionic resection utilizing the STT-u and STT-r joint portals at our institution were described. Clinical Relevance Arthroscopic resection of STT joint ganglion under portal site local anesthesia is a technically feasible, safe, and effective approach. There was no recurrence observed for both cases at 50 months of follow-up.

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