Ganglions of the hand and wrist: Retrospective
statistical analysis of 520 cases

Kuliński, Sebastian; Gutkowska, Olga; Mizia, Sylwia; Gosk, Jerzy

doi:10.17219/acem/65070

Cited by 16 publications

(16 citation statements)

References 24 publications

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“…Approximately half of the flexor tendon sheath ganglion cysts in this study involved the third finger, and 94% of these were located at the level of the MCP joint and proximal phalanx. These findings are consistent with previous reports without imaging findings in which involvement of the third finger ranged from 34% to 47%, and location at the level of the MCP joint and proximal phalanx ranged from 78% to 100% . Although the reasons are not clear, we speculate that it may relate to the fact that the third finger is located in the midline, and it is also noteworthy that much pressure is affected to the MCP joint and proximal phalanx while the fingers and hand are in motion.…”

Section: Discussionsupporting

confidence: 92%

Ganglion cysts developed from the flexor tendon sheaths in the fingers: Clinical and sonographic features

Jang

Kang

Bang

et al. 2019

J of Clinical Ultrasound

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Purpose: The purpose of this study was to assess the clinical and sonographic features of flexor tendon sheath ganglion cysts in the fingers. Methods:We retrospectively reviewed the clinical and sonographic features of 35 cases of flexor tendon sheath ganglion cysts in the fingers in 34 patients that were pathologically confirmed between 2003 and 2018.Results: The mean age of the patients was 44.2 years (range, 11-73 years). Lesions were located at the level of the metacarpophalangeal joint (n = 22 [63%]) and proximal phalanx (n = 11 [31%]), and involvement of the third finger was common (n = 19[54%]). The mean lesion size was 6 mm and the mean volume was 90 mm 3 . None of the lesions had a pedicle. Lesions were homogeneous (n = 24 [69%]) and anechoic (n = 23 [66%]). A septum was noted in 12 cases (34%). Conclusions:Flexor tendon sheath ganglion cysts are most commonly located in the third finger and at the level of the metacarpophalangeal joint and proximal phalanx. It usually presents as a simple cyst without a pedicle, but occasionally exhibits a mixed echogenicity and contains a septum. K E Y W O R D Sfingers, flexor tendon sheath, ganglion cyst, ultrasonography

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Section: Discussionsupporting

confidence: 92%

Ganglion cysts developed from the flexor tendon sheaths in the fingers: Clinical and sonographic features

Jang

Kang

Bang

et al. 2019

J of Clinical Ultrasound

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“…Recurrence of the ganglions is the most common reported complication of any treatment. (15,16) We Dominant side, younger ages and female gender are reported to be the most substantial risk factors for recurrence following arthroscopic resection of wrist ganglions in the literature (20). In our small cohort, the mean age of the patients was 26.…”

Section: Discussionmentioning

confidence: 74%

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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“…1 It is more common between the 2nd and 4th decade of life and in the female gender. 2 The cyst may be asymptomatic or cause local pain that is exacerbated with wrist movement. 1 The diagnosis is usually made by clinical examination and confirmed with ultrasound.…”

Section: Introductionmentioning

confidence: 99%

“…1 There are numerous forms of treatment of the synovial cyst of the dorsal wrist: observational, aspiration of the cyst fluid, aspiration of the cyst fluid with corticosteroid infiltration, aspiration of cyst fluid and sclerotherapy, transcutaneous electrocautery and surgical treatment, which can be conducted openly or arthroscopicly. [1][2][3][4][5] Open or arthroscopic surgical treatment has a cure rate of 70 to 100%. 6 However, it is invasive and has a higher rate of complications.…”

Section: Introductionmentioning

confidence: 99%

Sclerotherapy With 75% Hypertonic Glucose to Treat Dorsal Synovial Cysts of the Wrist

et al. 2021

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Objective: To evaluate the cure rate for dorsal synovial cysts of the wrist with aspiration and percutaneous sclerotherapy using 75% hypertonic glucose. Methods: We enrolled 45 patients older than 18 years with untreated dorsal synovial cysts of the wrist. They underwent percutaneous aspiration and sclerotherapy with 75% hypertonic glucose 75%. A maximum of two procedures were conducted for each cyst at a 4-week interval. We analyzed age, sex, affected side, history of previous trauma, wrist goniometry, grip strength, wrist pain by the visual analogue scale, complications, and hand function questionnaire scores. Results: We evaluated 45 patients (30 female, 15 male, mean age 38.2 years with 47 cysts). Four weeks after the first procedure, 72.3% cysts were palpable and visible. At 24 weeks after the first procedure, 57.4% cysts evolved to cure and 42.6% persisted. Conclusion: Treatment of dorsal synovial cyst of the wrist with aspiration and percutaneous sclerotherapy using 75% hypertonic glucose achieved a 57.4% cure rate after 24 weeks. Level of Evidence IV, Case series

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Ganglions of the hand and wrist: Retrospective statistical analysis of 520 cases

Abstract: Background. Ganglions constitute the most common tumor type of the hand and wrist region. They have a non-neoplastic character and affect patients of all ages.

Cited by 16 publications

References 24 publications

Ganglion cysts developed from the flexor tendon sheaths in the fingers: Clinical and sonographic features

Ganglion cysts developed from the flexor tendon sheaths in the fingers: Clinical and sonographic features

Prospective Outcomes of Arthroscopic Versus Open Resection of Dorsal Wrist Ganglions

Sclerotherapy With 75% Hypertonic Glucose to Treat Dorsal Synovial Cysts of the Wrist

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