Arthroscopic Resection of Dorsal Wrist Ganglia: 114 Cases With Minimum Follow-Up of 2 Years

Gallego, Sabrina; Mathoulin, Christophe

doi:10.1016/j.arthro.2010.05.008

Cited by 75 publications

(81 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recurrence rates of arthroscopic DWG excision with a minimum of 1-year follow-up have been cited by a number of studies with varying patient cohorts, ranging from 0 to 12.3 % [4][5][6][12][13][14][15]. Recurrence rate of open excision has been reported as 8.7 % in a prospective study of 31 patients by Kang et al [9]..…”

Section: Discussionmentioning

confidence: 99%

“…Initially described by Osterman and Rafael [13], arthroscopic excision of DWG is evolving to become a desirable technique for the treatment of these common masses due to the potential for smaller incisions and less capsular disruption [5]. Arthroscopic DWG resection has been shown to provide improved range of motion (ROM), aesthetic appearance, incidence of complications, recovery time, pain relief, and overall patient satisfaction [3,5,6]. Regardless of surgical approach, post-operative recurrence of the ganglion is commonly documented and is likely attributed to inadequate excision of the stalk or the presence of multiple occult cysts that remain unresected [6,8,9,11,17].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic Dorsal Wrist Ganglion Excision with Color-Aided Visualization of the Stalk: Minimum 1-Year Follow-Up

Ahsan

Yao²

2013

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background Dorsal wrist ganglia (DWG) are a common, benign soft-tissue mass of the wrist. Excision of DWG is a common procedure performed by hand surgeons and may be performed using either open or arthroscopic techniques. This study aims to evaluate the frequency of stalk visualization with intralesional injection of inert dye in the course of arthroscopic excision along with incidence of recurrence with a minimum of 1-year follow-up. Methods Upon IRB approval, a retrospective chart review was performed identifying 27 patients who had consecutively undergone arthroscopic excision of a DWG with the coloraided technique at our institution with a minimum follow-up duration of 12 months. Intraoperative findings were reviewed. Patients were contacted to investigate for incidence of recurrence. Results Of the 27-patient cohort, the ganglion stalk was identified in 100 % of the color-aided arthroscopic DWG excisions. Ganglion recurrence was identified in one patient, an incidence of 3.7 %. Conclusions The color-aided technique for arthroscopic DWG visualization was found to be a safe and valuable tool for surgeons performing arthroscopic DWG resection. The intraarticular ganglion stalk was identified in 100 % of cases and patients responded well with a low incidence of recurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Arthroscopic Dorsal Wrist Ganglion Excision with Color-Aided Visualization of the Stalk: Minimum 1-Year Follow-Up

Ahsan

Yao²

2013

Hand (New York, N,Y.)

View full text Add to dashboard Cite

show abstract

“…Accordingly, arthroscopic resection has been proposed as a potentially more favorable alternative to open resection, with recurrence rates of 0% to 11% [11,12,15,16] and improved pain, grip strength, and wrist motion [1,2,[7][8][9][10]. Further, arthroscopic resection reportedly is associated with no scaphoid subluxation or chronic scapholunate instability attributable to ligament injury during surgery that has been reported after open resection [2,3,8,11,12,16], and an improved cosmetic appearance [11]. Moreover, diagnostic arthroscopy together with ganglion resection simultaneously allows for thorough examination of the joint and treatment of coexisting intraarticular disorders commonly associated with symptomatic wrist ganglions, such as the triangular fibrocartilage complex (TFCC) or tears of intrinsic or extrinsic ligaments [3].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, diagnostic arthroscopy together with ganglion resection simultaneously allows for thorough examination of the joint and treatment of coexisting intraarticular disorders commonly associated with symptomatic wrist ganglions, such as the triangular fibrocartilage complex (TFCC) or tears of intrinsic or extrinsic ligaments [3]. Nonetheless, persistent pain occurs in 0% to 17% of patients [8,11,12,15,16] and it is unclear whether coexisting intraarticular disorders influence persistent pain or recurrence after arthroscopic resection of dorsal wrist ganglions.…”

Section: Introductionmentioning

confidence: 99%

Coexisting Intraarticular Disorders Are Unrelated To Outcomes After Arthroscopic Resection of Dorsal Wrist Ganglions

Kang¹,

Koh²,

Kim³

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Dorsal wrist ganglions are one of the most frequently encountered problems of the wrist and often are associated with intraarticular disorders. However, it is unclear whether coexisting intraarticular disorders influence persistent pain or recurrence after arthroscopic resection of dorsal wrist ganglions. Questions/purposes We investigated (1) which intraarticular disorders coexist with dorsal wrist ganglions and (2) whether they influenced pain, function, and recurrence after arthroscopic ganglion resection. Methods We retrospectively reviewed 41 patients with primary dorsal wrist ganglions who underwent arthroscopic resection. We also obtained VAS pain scores and the Mayo Wrist Scores (MWS) preoperatively and at 2 weeks, 6 weeks, 3 months, 6 months, 1 year, and annually thereafter postoperatively. Minimum followup was 24 months (mean, 38.9 months; range, 24-60 months).Results Twenty-one patients had other coexisting intraarticular disorders: 18 triangular fibrocartilage complex tears and nine intrinsic ligament tears. All coexisting disorders were treated simultaneously. Two years after surgery, the mean VAS pain score decreased from 2.4 to 0.6, and mean grip strength increased from 28 to 36 kg of force. The mean active flexion-extension showed no change. The mean MWS improved from 74 to 91. Three ganglions recurred. There was no difference in mean VAS pain score and MWS preoperatively and at 2 years after surgery or recurrence of ganglions between patients with or without coexisting lesions. Conclusions Intraarticular disorders commonly coexist with ganglions but we found they were unrelated to pain, function, and recurrence after arthroscopic resection of the ganglion when the intraarticular disorders were treated simultaneously.

show abstract

“…Visualization of the extensor tendons arthroscopically is an excellent landmark to ensure full thickness excision of the dorsal capsule. 15 We were able to visualize the extensor tendons in all the cases included in this study. The extensor tendons are at risk of damage during arthroscopic surgery.…”

mentioning

confidence: 99%

Arthroscopic resection of dorsal wrist ganglion

et al. 2016

View full text Add to dashboard Cite

INTRODUCTIONGanglions are the most common causes of focal masses of the hand and wrist. They arise from the synovium of joints or tendon sheaths. Dorsal wrist ganglion is the most common type of ganglion arising from the hand.1 The exact etiology is not known and the most common site of origin is the dorsal scapho-lunate ligament. A one way valve is believed to exist which allows the fluid to enter the swelling from the joint and appear most commonly between the second and fourth extensor tendon compartment.2 The management of dorsal wrist ganglion ranges from benign neglect to open surgical excision. The key to open surgical excision is identification of the ganglion stalk and excision from the base.Open surgical excision is associated with morbidities like numbness around the scar, wrist stiffness, cosmetically unacceptable scar and a recurrence rate ranging from 10% to 40%. 2,3 Wrist arthroscopy has been an innovation in recent times with increasing application for managing wrist pathologies. Arthroscopic resection of dorsal wrist ganglion has advantages of a minimally invasive surgery, early return to function, a more cosmetically acceptable ABSTRACT Background: The management of dorsal wrist ganglion ranges from benign neglect to surgical excision. The purpose of this study was to study the results of arthroscopic resection of dorsal wrist ganglion. Methods: Twenty one patients who had undergone arthroscopic dorsal wrist ganglion excision and a minimum of 3 months follow up were included. The preoperative complaint of cosmesis, pain, and duration of swelling, wrist range of motion and size of the ganglion were noted. The duration the patient took to return to a painless wrist with full range of motion was noted. Patient satisfaction with respect to cosmesis and function was noted. Results: The mean age was 23.3 years (range: 13 to 35 years). Pre-operative wrist pain was present in 17 patients and cosmesis was a complaint in 18 patients. 5 patients had a pre-operative restricted range of motion. The mean duration and size of the ganglion was 2.6 months (range: 2 to 4 months) and1.8cm (range: 1 to 3 cm) respectively. The mean duration of follow up was 14.6 months (range: 3 to 24 months). Arthroscopically, dorsal synovitis was present in 10 patients, triangular-fibro-cartilage-complex (TFCC) tear in 2 patients and chondral damage in 1 patient. The ganglion stalk was visualized in 14 patients. Complete painless wrist range of motion was obtained by 20 patients by 3 weeks post-operative. One patient had a recurrence. All the remaining patients were satisfied cosmetically and functionally with the results. Conclusions: Arthroscopic resection is an effective treatment modality for symptomatic dorsal wrist ganglion with good functional and cosmetic results.

show abstract

Arthroscopic Resection of Dorsal Wrist Ganglia: 114 Cases With Minimum Follow-Up of 2 Years

Cited by 75 publications

References 14 publications

Arthroscopic Dorsal Wrist Ganglion Excision with Color-Aided Visualization of the Stalk: Minimum 1-Year Follow-Up

Arthroscopic Dorsal Wrist Ganglion Excision with Color-Aided Visualization of the Stalk: Minimum 1-Year Follow-Up

Coexisting Intraarticular Disorders Are Unrelated To Outcomes After Arthroscopic Resection of Dorsal Wrist Ganglions

Arthroscopic resection of dorsal wrist ganglion

Contact Info

Product

Resources

About