Arthroscopic Resection of Dorsal Wrist Ganglion: Results and Rate of Recurrence Over a Minimum Follow-up of 4 Years

Fernandes, Carlos Henrique; Meirelles, Lia Miyamoto; Neto, Jorge Raduan; Fernandes, Marcela; Santos, João Baptista Gomes dos; Faloppa, Flávio

doi:10.1177/1558944717743601

Cited by 25 publications

(37 citation statements)

References 39 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: 87%

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: 87%

Prospective Outcomes of Arthroscopic Versus Open Resection of Dorsal Wrist Ganglions

Gürpınar¹,

Çarkçı²

2020

Istanbul Med J

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“…Since rstly described by Osterman and Raphael in 1995 [15], the arthroscopic excision of DWG cysts has increased in popularity and showed inspiring results with a lower recurrence rate of approximately 10% [7][8][9][10][11]. In a study by Gallego and Mathoulin [10], a total of 114 patients underwent arthroscopic excisions of DWG cysts, and there were 14 (12.3%) recurrences at a mean of 16.9 months after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the arthroscopic DWG excision is becoming an alternative to open surgery for advantages in a smaller scar, less pain, and earlier return to work [3]. Meanwhile, the recurrence following arthroscopic DWG excision was reported to be approximately 10% at > 1-year follow-up [7][8][9][10][11], indicating the possible superiority of arthroscopic approach in lowing the recurrence of DWG. However, in patients with recurrent DWG, it is unclear whether a re-excision under arthroscopy would achieve a low recurrence as the primary surgery.…”

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confidence: 99%

Clinical outcomes after arthroscopic revision excision of recurrent dorsal wrist ganglion cyst: a case series study

Zheng

Huang

Yang

et al. 2022

Preprint

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Background The recurrence of dorsal wrist ganglion (DWG) cyst following excision has been reported up to 40%. This study aimed to evaluate clinical outcomes regarding the functional evaluation and recurrence rate after the arthroscopic excision of recurrent DWG cysts. Methods From November 2017 to March 2020, 11 consecutive patients diagnosed as recurrent DWG cysts underwent revision excision in an arthroscopic approach. The magnetic resonance imaging (MRI) examination was performed routinely before the surgery to identify the location and limits of the cyst. All patients were followed up for a minimum of 2 years. The second recurrence was recorded if a mass reappeared at the same site, with a positive transillumination test. Pain during activity was evaluated by the visual analog scale (VAS). Active range of motion (ROM) of the wrist was measured by a goniometer, and the hand grip strength was measured using a digital dynamometer. Results After a mean follow-up period of 29.3 months (range, 24 to 34 months), no second recurrence of the cyst was recorded. The VAS score improved from 1.4 to 0.3 (P = 0.003), and the residual pain was reported by 3 patients (VAS score was 1 for each). The active wrist flexion increased from 73.6° to 78.2° (P = 0.016). No significant change was found in active wrist extension and hand grip strength (P > 0.05). Conclusion Arthroscopic excision of recurrent DWG cyst yielded satisfactory results with no second recurrence, significant pain relief, and good wrist function at a minimum 2-year follow-up. Clear identification of the location and limits of the ganglion based on the preoperative MRI could be helpful to achieve a complete excision and to prevent a second recurrence.

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“…Neben einer dorsalen Synovialektomie wird der dorsale Ganglienstiel auf einen Kapseldefekt von 10 × 10 mm erweitert, um den Ventilmechanismus zu beseitigen. Die Rezidivrate beträgt zwischen 3 und 30 % und entspricht damit der offener Verfahren [4]. gelenk darf sofort bewegt werden.…”

Section: Operationen Von Ganglienunclassified

“…Auch die Teilresektion des triangulären fibrokartilaginären Komplexes (TFCC) wurde relativ frühzeitig in die Therapie integriert. Im Verlauf kamen die arthroskopische Therapie von Handgelenkganglien [4,5] sowie geschlossene, rein arthroskopische oder arthroskopisch assistierte minimalinvasive Verfahren zur Refixation des TFCC nach traumatischen Rupturen zur Anwendung Dieses Dokument wurde zum persönlichen Gebrauch heruntergeladen. Vervielfältigung nur mit Zustimmung des Verlages.…”

Section: Introductionunclassified

Handgelenkarthroskopie

Gaulke¹

2020

Arthritis und Rheuma

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ZUSAMMENFASSUNGDie Handgelenkarthroskopie hat in den letzten Jahrzehnten erhebliche Fortschritte in Bezug auf die technische Ausstattung und die therapeutischen Optionen bei zahlreichen karpalen Pathologien gemacht. So wurde die rein diagnostische Arthroskopie als häufigster Eingriff von den verschiedenen therapeutischen Arthroskopien weit in den Hintergrund gedrängt. Synovialektomien, die Entfernung von freien Gelenkkörpern und Handgelenkganglien sowie arthroskopisch assistierte Osteosynthesen und Arthrodesen können heute für den Patienten schonend und erfolgreich arthroskopisch durchgeführt werden.

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Arthroscopic Resection of Dorsal Wrist Ganglion: Results and Rate of Recurrence Over a Minimum Follow-up of 4 Years

Abstract: The outcomes, recurrence, and complications rates after 4 years of follow-up presented in this study support the use of arthroscopy as a treatment for dorsal wrist ganglion.

Cited by 25 publications

References 39 publications

Prospective Outcomes of Arthroscopic Versus Open Resection of Dorsal Wrist Ganglions

Prospective Outcomes of Arthroscopic Versus Open Resection of Dorsal Wrist Ganglions

Clinical outcomes after arthroscopic revision excision of recurrent dorsal wrist ganglion cyst: a case series study

Handgelenkarthroskopie

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