Efficacy of immobilization following aspiration of carpal and digital ganglions

Korman, Joshua M.; Pearl, Robert; Hentz, Vincent R.

doi:10.1016/s0363-5023(09)91073-5

Cited by 38 publications

(28 citation statements)

References 6 publications

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“…The impressive results of Zubowicz had been elusive in subsequent investigations, and, most studies, even with repeat aspirations, demonstrated a success rate of only 30e50%. 26 It should be noted that aspiration appeared to be significantly more successful in ganglia of the flexor tendon sheath of the hand with success up to 60% or 70% of the time. 27e29 Additionally, some authors noted the poorest success rates with aspirations of volar ganglia of the wrist and recommended against this procedure due to the risk of adjacent structures, including the radial artery and the palmar cutaneous branch of the median nerve.…”

Section: 25mentioning

confidence: 93%

“…27e29 Additionally, some authors noted the poorest success rates with aspirations of volar ganglia of the wrist and recommended against this procedure due to the risk of adjacent structures, including the radial artery and the palmar cutaneous branch of the median nerve. 9,16,26 To improve upon the success rate of simple aspiration, numerous adjunctive measures had been developed. Based on the mistaken theory that ganglia are inflammatory in origin, Becker (1953) introduced steroid injection after aspiration.…”

Section: 25mentioning

confidence: 99%

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RETRACTED: Dorsal wrist ganglion: Current review of literature

Meena¹,

Gupta²

2014

Journal of Clinical Orthopaedics and Trauma

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Ganglion Arthroscopy AspirationGanglion cyst a b s t r a c t Ganglion cyst is the most common soft tissue tumour of hand. Sixty to seventy percent of ganglion cysts are found in the dorsal aspect of the wrist. They may affect any age group; however they are more common in the twenties to forties. Its origin and pathogenesis remains enigmatic. Non-surgical treatment is unreliable with a high recurrence rates.Open surgical excision leads to unsightly scar and poor outcome. Arthroscopy excision has shown very promising result with very low recurrence rate. We reviewed the current literature available on dorsal wrist ganglion.

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Section: 25mentioning

confidence: 93%

Section: 25mentioning

confidence: 99%

RETRACTED: Dorsal wrist ganglion: Current review of literature

Meena¹,

Gupta²

2014

Journal of Clinical Orthopaedics and Trauma

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“…Richman et al showed that 3-week immobilization after aspiration and multiple puncture had a significantly higher successful rate for dorsal carpal ganglion, but the result for palmar ganglion was inconclusive [21]. On the other hand, Korman et al concluded that immobilization did not significantly improve the successful treatment of ganglions over perforation and aspiration alone and had the potential adverse effects of inconvenience, economic repercussions, and stiffness [22]. …”

Section: Conservative Treatmentmentioning

confidence: 99%

Treatment of Ganglion Cysts

2013

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Ganglion cysts are soft tissue swellings occurring most commonly in the hand or wrist. Apart from swelling, most cysts are asymptomatic. Other symptoms include pain, weakness, or paraesthesia. The two main concerns patients have are the cosmetic appearance of the cysts and the fear of future malignant growth. It has been shown that 58% of cysts will resolve spontaneously over time. Treatment can be either conservative or through surgical excision. This review concluded that nonsurgical treatment is largely ineffective in treating ganglion cysts. However, it advised to patients who do not surgical treatment but would like symptomatic relief. Compared to surgery, which has a lower recurrence rate but have a higher complication rate with longer recovery period. It has been shown that surgical interventions do not provide better symptomatic relief compared to conservative treatment. If symptomatic relief is the patient's primary concern, a conservative approach is preferred, whilst surgical intervention will decrease the likelihood of recurrence.

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“…Both aspiration and injection have been limited by high recurrence rates. [6][7][8] Open surgical resection of the ganglion has been generally successful with recurrence rates of 3% to 12%. 2,9 Over the past 10 to 15 years, there has been growing interest in arthroscopic treatment of dorsal wrist ganglions.…”

Section: Historical Perspectivementioning

confidence: 99%

Methylene Blue-enhanced Arthroscopic Resection of Dorsal Wrist Ganglions

Lee

Sawyer

DaSilva

2011

Techniques in Hand &Amp; Upper Extremity Surgery

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The ganglion is the most common soft tissue mass of the hand and wrist. Over the past 10 to 15 years, there has been a growing interest in arthroscopic treatment of dorsal wrist ganglions. Proposed advantages of arthroscopy include greater motion (particularly wrist flexion), improved cosmesis, and potential to identify/treat other intra-articular pathology. Despite the documented clinical success of arthroscopic ganglion excision, limitations include inconsistent identification of the ganglion stalk. Our described technique offers a means by which to improve visualization of the ganglion stalk intra-articularly to produce a more effective and efficient arthroscopic ganglion excision. During the procedure, a small volume of methylene blue solution is injected into the cyst. Its communication with the joint is apparent arthroscopically, thus identifying the location of the stalk. With the ability to precisely identify the ganglion stalk using an injection of methylene blue, the surgeon can direct the arthroscopic debridement toward the appropriate pathologic tissue. Unnecessary debridement of uninvolved tissue can be avoided with the technique. This also allows for optimal portal placement and, in particular, indicates whether a midcarpal portal should be employed. This should result in fewer recurrences, decreased operative time, and less iatrogenic injury.

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Efficacy of immobilization following aspiration of carpal and digital ganglions

Cited by 38 publications

References 6 publications

RETRACTED: Dorsal wrist ganglion: Current review of literature

RETRACTED: Dorsal wrist ganglion: Current review of literature

Treatment of Ganglion Cysts

Methylene Blue-enhanced Arthroscopic Resection of Dorsal Wrist Ganglions

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