Improving the Results of Ganglion Aspiration by the Use of Hyaluronidase

Paul, A. J.; Sochart, David H.

doi:10.1016/s0266-7681(97)80066-6

Cited by 57 publications

(63 citation statements)

References 8 publications

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“…Subsequent trials have demonstrated much less optimistic results. 18,21 In fact, results appear no better than simple aspiration alone, probably based on the fact that neither technique addresses the actual cause of the cyst. A number of techniques have been developed that are actually designed to increase inflammation within the ganglia to enhance scarring and thus close the potential space of the empty cyst and prevent recurrence.…”

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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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: 99%

RETRACTED: Dorsal wrist ganglion: Current review of literature

Meena¹,

Gupta²

2014

Journal of Clinical Orthopaedics and Trauma

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“…Complications of surgery include wound-healing complications, such as infection, neuroma or keloid formation, and the presence of a scar. Other reported complications include scapholunate dissociation, joint stiffness, damage to the terminal branches of the posterior interosseous nerve, and decreased grip strength along with the risks associated with the use of general anaesthesia and upper limb tourniquet (15). We had a complication rate of 8.5%.…”

Section: Discussionmentioning

confidence: 89%

Ganglion cyst in children: Reviewing treatment and recurrence rates

Cypel¹,

Mrad²

2011

J Plastic Surgery

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G anglion cysts are mucinous tumours that usually arise from underlying joint capsules or tendon sheaths, and are the most common soft tissue masses of the hand (1). Their pathogenesis remains controversial. The extracapsular part of the dorsal ganglia is well known, but little is known about the intracapsular component and its etiology. While a great deal of information exists for adult hand and wrist ganglia, there is a paucity of data for the pediatric population. Although they commonly occur as benign lesions in adults, ganglia of the hand and wrist are much less common in children. The exact incidence is uncertain, but Nelson et al (1) reported on a series of 543 hand and wrist ganglia. Approximately 10% occurred in patients younger than 20 years of age, and less than 2% were in patients younger than 10 years of age. However, the incidence of ganglia in children is probably underestimated because their presence is usually painless and does not interfere with function; therefore, they may not be brought to the attention of a physician.Pediatric hand and wrist ganglia seem to have different epidemiological characteristics than those of adults -a majority are found on the volar aspect of the hand and wrist in patients younger than 10 years of age (2).Studies regarding the treatment of hand ganglia in children have generally shown increased rates of recurrence with aspiration or surgery when compared with adults who have undergone similar treatment. Recurrence rates of up to 43% with various puncture techniques (3), including aspiration, and 35% following surgical excision have been reported (2). Only a few studies have examined the treatment of pediatric ganglia through observation: MacCollum (4) found a 64% spontaneous resolution rate in a series that included only dorsal wrist ganglia (gathered from several centres), and Rosson and Walker (5), whose study included patients 15 years of age or younger, reported a 76% resolution rate in a series that included foot ganglia.The objectives of the present study were to determine the most common sites of pediatric ganglia occurrence and the most effective method of treatment. patients and MethodsThe records of the pathology department at The Hospital for Sick Children (Toronto, Ontario) were retrospectively searched for all cases of ganglion cyst surgically treated between January 2000 and oRiGinal aRticle ©2011 Pulsus Group Inc. All rights reserved baCKGRound: Pediatric hand and wrist ganglia seem to have different epidemiological characteristics than those of adults -a majority are found on the volar aspect of the hands and wrists of patients younger than 10 years of age. obJeCtive: To determine the epidemiology, etiological factors, clinical presentation, treatment and outcome of patients with ganglion cysts at The Hospital for Sick Children (Toronto, Ontario). Methods: The records of the pathology department at The Hospital for Sick Children were searched for all cases of ganglion cyst operated on between January 2000 and December 2008. Results: Thirty-seven pat...

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“…Comparison of surgical excision with aspiration and steroid injection showed wide gap in the results [6] , with success rate of around 94% for surgical excision and mere 61% for aspiration and steroid injection. Varley et al in their study found only 33% -57% success rates with either aspiration alone or in combination with steroid injection [8,9] but when combined aspiration with hyaloronidase and triamcinalone injection, the success rate shot upto 89% [8] . Surgical excision and closure of capsule has found to be more successful of all treatment option with success rates of around 92% [2,3] .…”

Section: Discussionmentioning

confidence: 95%

Treatment of ganglion by “needling”: By transfixation suture, an effective and cosmetic way

Patil¹

2018

Int. J. Orthop. Sci.

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Ganglion is commonly encountered problem across all age groups. It is one of the most common soft tissue tumors. Most commonly, patients seek treatment for cosmetic reason. Though there are variety of treatment options available, but very few are effective and cosmetically acceptable. Treatments like aspiration alone or in conjunction with hyaloronic acid or triamcinalone have higher recurrence rates. Hitting with book or bible is of historical significance. Surgical excision is best option available, but, leaves scar behind. In these circumstances, treatment by transfixation by no 1 mersilk suture under local anaesthesia on outpatient basis. This is effective as well as cosmetically acceptable method of treatment. In our series of 32 patients, which were treated by transfixation suture, had minimal complication. Silk used in this method helps in making track for escape of ganglion contents following initial procedure. And retaining suture lets the contents escape out and it produces fibrosis within ganglion lining. Thus reducing the chances of recurrences, compared to plain needling. As we call it "needling" is an excellent method with low recurrence, comparable to surgical excision with success rate of 90%.

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Improving the Results of Ganglion Aspiration by the Use of Hyaluronidase

Cited by 57 publications

References 8 publications

RETRACTED: Dorsal wrist ganglion: Current review of literature

RETRACTED: Dorsal wrist ganglion: Current review of literature

Ganglion cyst in children: Reviewing treatment and recurrence rates

Treatment of ganglion by “needling”: By transfixation suture, an effective and cosmetic way

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