Sonography of Wrist Ganglion Cysts: Which Location Is Most Common?

Zhang, Andrew; Falkowski, Anna L.; Jacobson, Jon A.; Kim, Sung Moon; Koh, Sung Hye; Gaetke‐Udager, Kara

doi:10.1002/jum.14912

Cited by 16 publications

(7 citation statements)

References 11 publications

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“…In three cases, patients had an intratendinous cyst. Para-articular ganglion cysts are very common at the wrist [21], but intratendinous cysts are very unusual. One of the three patients with an intratendinous cyst was a gymnast, as reported in one case by Wilson et al [2], supporting the hypothesis of a microtraumatic origin.…”

Section: Discussionmentioning

confidence: 99%

Stenosing tenosynovitis of the extensor digitorum tendons of the hand: clinical and sonographic features

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Stenosing tenosynovitis of the extensor digitorum tendons of the hand: clinical and sonographic features

et al. 2021

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“…Wrist US examination was routinely performed before re‐excision by an expert musculoskeletal sonographer using a color Doppler ultrasound system (LOGIQ E9, GE Medical Systems, USA). The criteria used to diagnose a ganglion cyst were well‐defined, anechoic or hypoechoic, and unilocular or multilocular fluid collection not representing an anatomic bursa or joint recess, as described in the literature 17 . The largest diameter of the ganglion cyst was measured (Figure 1).…”

Section: Methodsmentioning

confidence: 99%

“…The criteria used to diagnose a ganglion cyst were well‐defined, anechoic or hypoechoic, and unilocular or multilocular fluid collection not representing an anatomic bursa or joint recess, as described in the literature. 17 The largest diameter of the ganglion cyst was measured (Figure 1 ).…”

Section: Methodsmentioning

confidence: 99%

Two‐Year Clinical Outcomes after Arthroscopic Re‐Excision of Recurrent Dorsal Wrist Ganglion Cyst

Zheng

Huang

Yang

et al. 2022

Orthopaedic Surgery

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Objectives Arthroscopic excision of dorsal wrist ganglion (DWG) cysts has recently become an alternative to open surgery, with the advantage of lower recurrence. However, in recurrent cases, whether re‐excision using an arthroscopic approach would achieve favorable outcomes has not been determined. This study aimed to evaluate the clinical outcomes of function evaluation and recurrence rate after arthroscopic excision of recurrent DWG cysts. Methods A total of 11 consecutive patients with clinically diagnosed recurrent DWG cysts were retrospectively reviewed between November 2017 and March 2020. Extensive re‐excision of the ganglion cyst and its surrounding pathological capsule was performed using an arthroscopic approach. Magnetic resonance imaging (MRI) was routinely performed before surgery to identify the location and limits of the cyst. All patients were followed up for a minimum of 2 years. A second recurrence was recorded if a mass reappeared at the same site with a positive transillumination test. Pain during activity was evaluated using the visual analog scale (VAS). The active range of motion (ROM) of the wrist was measured using a goniometer, and the hand grip strength was measured using a digital dynamometer. Comparative analysis between the pre‐ and postoperative indexes was performed using Student's t‐test. Results After a mean follow‐up period of 29.3 months (range, 24–34 months), no second recurrence of the cyst was recorded. The VAS score improved from 1.4 to 0.3 (t = 3.833, p = 0.003), and residual pain was reported by three patients (VAS score = 1 for each). Active wrist flexion increased from 73.6° to 78.2° (t = 2.887, p = 0.016). No significant changes were found in active wrist extension or hand grip strength (p > 0.05). No major complications occurred during the study. Conclusion Arthroscopic excision of a recurrent DWG cyst yielded satisfactory results with no second recurrence, significant pain relief, and good wrist function at a minimum of 2‐year follow‐up. Clear identification of the location and limits of the ganglion based on preoperative MRI could be helpful to achieve complete excision and therefore prevent a second recurrence.

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“…A GE LOGIQ E9 color Doppler ultrasound system (GE Medical Systems Ultrasound & Primary Care Diagnostics) was used. The criteria used to diagnose a ganglion cyst was a well-de ned, anechoic or hypoechoic, unilocular or multilocular uid collection not representing an anatomic bursa or joint recess, as described in the literature [12]. The largest diameter of the ganglion cyst was then measured (Figure 1).…”

Section: Ultrasonographymentioning

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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Sonography of Wrist Ganglion Cysts: Which Location Is Most Common?

Cited by 16 publications

References 11 publications

Stenosing tenosynovitis of the extensor digitorum tendons of the hand: clinical and sonographic features

Stenosing tenosynovitis of the extensor digitorum tendons of the hand: clinical and sonographic features

Two‐Year Clinical Outcomes after Arthroscopic Re‐Excision of Recurrent Dorsal Wrist Ganglion Cyst

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

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