Ganglions of the Wrist and Associated Triangular Fibrocartilage Lesions: A Prospective Study in Arthroscopically-treated Patients

Langner, Inga; Krüger, Paul-Christian; Merk, H.; Zach, A.

doi:10.1016/j.jhsa.2012.04.042

Cited by 15 publications

(11 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Rocchi et al 12 reported three recurrences by three months after surgery . Langner et al 19 reported four recurrences and Ho et al 15 two recurrences at one year of follow-up. Recurrences and complications were higher for midcarpal ganglions.…”

Section: Resultsmentioning

confidence: 96%

“…Ho et al did not report any connection between the joint and the ganglion during the surgery, once (16.66%) in six wrists 8 and five times (23,80%) in twenty-one wrists. 15 A volar haematoma without a radial artery lesion was reported in one (3.12%) of 32 operated wrists by Mathoulin et al, 16 by Rocchi et al 13 No complications were reported by Langner et al 19 or Osterman et al 21 There were no reports of a decrease in the arc range of motion of the wrist. However, there were 11 conversions to open surgery.…”

Section: Resultsmentioning

confidence: 96%

“…By definition, these were not complications, but were undesirable situations. Ho et al 8 and Rocchi et al 13 18 Langner et al, 19 Mathoulin et al, 16 , 17 Osterman et al, 21 or Rhyou et al 20 There were a total of 14 recurrences. The recurrence rate ranged from 0% to 20%, with mean of 6.03%.…”

Section: Resultsmentioning

confidence: 99%

“…All authors used a tourniquet and Esmarch bandage to exsanguinate the hand. Langner et al 19 have recommended that the tourniquet be deflated to evaluate haemostasis and to check for possible arterial injury at the end of each wrist arthroscopy.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Review of Complications and Recurrence Rate of Arthroscopic Resection of Volar Wrist Ganglion

et al. 2014

View full text Add to dashboard Cite

(1) level I-V evidence, (2) documentation of the number of wrists subjected to surgery, (3) documentation of surgical techniques used on wrists, and (4) documentation of surgical or post-surgical complications and recurrence rate of a volar wrist ganglion after arthroscopic resection. A complication was defined as an adverse outcome that was directly related to the operative procedure. Between 2001 and 2012, 13 articles met the inclusion criteria. Two articles were excluded and 11 were reviewed. A total of 232 wrists underwent arthroscopic surgery with 14 recurrences. The recurrence rate ranged from 0 to 20%, with mean of 6.03%. There were 16 (6.89%) complications. There was no connection with the ganglion in six wrists, three haematomas, three cases of neuropraxia of the dorsal radial nerve, two partial lesions of the median nerve, and two lesions of a branch of the radial artery. Patients did not have a decrease in the arc range of motion. Treatment of volar ganglia of the midcarpal joint was technically difficult and associated with a higher number of complications. In general, arthroscopic resection results in fewer complications and lower recurrence rates than an open surgical approach, but there is no clear evidence of such an advantage for arthroscopic resection of a volar wrist ganglion. Additional prospective, controlled clinical trials will be essential to address this important issue.

show abstract

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of Complications and Recurrence Rate of Arthroscopic Resection of Volar Wrist Ganglion

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Existe una gran controversia sobre el origen de la formación de los gangliones. 1,12 El carácter prospectivo del presente estudio con la hipótesis de la existencia de una lesión asociada a la tumoración, ha permitido ser riguroso durante la revisión articular, aspecto que hasta ahora no se había descrito en los G.V.M. Fruto de ello sea el hallazgo de un número elevado de lesiones.…”

Section: Discussionunclassified

Gangliones volares de muñeca – señal externa de patología intraarticular

Cruz-Sánchez

Martínez-Andrade

Escudero-González

et al. 2019

Rev Iberoam Cir Mano

View full text Add to dashboard Cite

Introducción La etiología y el manejo de los gangliones sigue en controversia pese a su elevada frecuencia. Concretamente el tratamiento del ganglión volar de muñeca se ha asociado a un mayor índice de recidiva y complicaciones comparado con el ganglión dorsal. En los últimos años, se ha desarrollado el tratamiento artroscópico con el fin de realizar un tratamiento menos invasivo y poder identificar una relación causal. El objetivo del estudio es determinar la presencia de lesiones intraarticulares asociadas al ganglión volar y si el tratamiento de ambas patologías puede ser una opción válida. Material y Método Estudio longitudinal en el que se intervinieron de forma consecutiva 21 pacientes de ganglión volar de muñeca por vía artroscópica. Se recogieron los datos sociodemográficos, exploración física, pruebas complementarias, región predominante de dolor (EVA) y cuestionario DASH pre y postoperatorio. Se asoció el tratamiento de las lesiones intraarticulares en el mismo acto quirúrgico si existía correlación clínica con la exploración física inicial. Resultados Todos los casos fueron intervenidos por vía artroscópica sin complicaciones intraoperatorias. Se observaron hallazgos artroscópicos en todos los casos siendo la mayoría lesiones del Fibrocartilago Triangular del Carpo (57,12%). Se obtuvo una mejoría en los parámetros de dolor y DASH postoperatorios siendo este último significativo en los casos de dolor cubital y dorsal asociado al ganglión (p < 0.02). Hubo 2 casos de recidiva 9,52% que requirieron reintervención. Conclusiones Existe un gran número y variabilidad de lesiones intraarticulares asociadas al ganglión volar de muñeca. El tratamiento artroscópico es una herramienta versátil y útil ya que permite un tratamiento combinado. Se ha observado una mejora en los resultados postoperatorios con un escaso índice de complicaciones.

show abstract

Ganglia of the Hand and Wrist

Dias

2014

Disorders of the Hand

View full text Add to dashboard Cite

Ganglions of the Wrist and Associated Triangular Fibrocartilage Lesions: A Prospective Study in Arthroscopically-treated Patients

Cited by 15 publications

References 32 publications

A Systematic Review of Complications and Recurrence Rate of Arthroscopic Resection of Volar Wrist Ganglion

A Systematic Review of Complications and Recurrence Rate of Arthroscopic Resection of Volar Wrist Ganglion

Gangliones volares de muñeca – señal externa de patología intraarticular

Ganglia of the Hand and Wrist

Contact Info

Product

Resources

About