The Effectiveness of Sodium Tetradecyl Sulfate in the Treatment of Wrist Ganglia

Ajekigbe, Lawrence; Stothard, J. Russell

doi:10.1177/229255030601400112

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…18 After taking informed verbal consent, 2 ml of 1% lignocaine was infiltrated subcutaneously over the ganglion. An 18-gauge needle was then passed into the ganglion, aspirating the contents, demonstrating to the patient the typical gelatinous, benign consistency.…”

Section: Ganglion Of the Hand Or Wristmentioning

confidence: 99%

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Cost Minimisation Using Clinic-Based Treatment for Common Hand Conditions – A Prospective Economic Analysis

Webb

Stothard

2009

annals

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INTRODUCTION The purpose of this study was to compare the cost of treatment of Dupuytren's disease, ganglia and trigger digits in the out-patient department with the operating theatre. PATIENTS AND METHODS All patients seen in a new patient hand clinic with a diagnosis of Dupuytren's disease, trigger digit or ganglion of the wrist or hand requiring treatment were prospectively identified over a 6-month period. The numbers undergoing a procedure in the out-patient clinic or theatre were recorded. Costings of theatre time and out-patient time, as well as national tariff income, were obtained from the hospital management. RESULTS Over the 6-month period, 80, 26, and 52 patients were treated with regard to Dupuytren's disease, ganglia and trigger digits, respectively. Of these, 37, 23, and 44 were treated by an out-patient procedure, and 43, 3 and 8 underwent a formal operation. The total cost of the out-patient procedures was calculated at £1560 over 6 months. To perform these as formal operations would have cost £64,896. The cost savings were, therefore, £63,336, or £126,672 per annum. CONCLUSIONS Out-patient interventions for Dupuytren's disease, ganglia and trigger digits result in significant cost savings over formal surgical treatment.

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Section: Ganglion Of the Hand Or Wristmentioning

confidence: 99%

“…Since then, a variety of compounds have been injected, including steroid and hyaluronidase. Injection of scerosant has also recently been demonstrated by Ajekigbe and Stothard 18 to be safe and effective, with a 10% recurrence rate. Recurrence rates after aspiration have varied from 13% to 100%, compared with 1-34% after surgical excision.…”

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confidence: 93%

Cost Minimisation Using Clinic-Based Treatment for Common Hand Conditions – A Prospective Economic Analysis

Webb

Stothard

2009

annals

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“…4 However, many of these methods have variable success rates and high recurrence rates. 4 Nonoperative interventions include aspiration alone, 5 -10 aspiration and corticosteroid injection, 7,10 -16 aspiration and ethanol injection, 7 aspiration and hyaluronidase injection, 12,17 aspiration and sclerosing agent injection, 12,18,19 aspiration and multiple punctures, 9 and aspiration and electrocautery. 20 Operative interventions include both open and arthroscopic approaches, and these have been shown to have comparable recurrence rates 1 year postoperatively.…”

Section: Introductionmentioning

confidence: 99%

A Prospective Randomized Controlled Trial of Aspiration and Fibrin Sealant Use Versus Aspiration Alone in the Treatment of Dorsal Wrist Ganglia

et al. 2018

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Multiple treatments for dorsal wrist ganglia (DWG) exist but have high recurrence rates. We investigated whether aspiration followed by injection of Tisseel is more effective at reducing the DWG recurrence rate than aspiration alone. Methods: Adults with untreated DWG were randomly assigned to aspiration alone (A) or aspiration followed by Tisseel injection (AT). Patients were measured at baseline, 1, 6, and 12 months. Primary outcome was the rate of recurrence. Secondary outcomes included recurrent ganglion size and maximum pain experienced from the ganglion. Continuous data were compared with Student t tests and Mann-Whitney U tests. Categorical data were compared with w 2 tests and Fisher exact tests. Treatment effect was reported as relative risk or mean differences (MD) with 95% confidence intervals. Results: Seventy-nine patients were randomized to the A (n ¼ 39) or AT (n ¼ 40) group. Twenty-five patients were lost to follow-up. There were no differences in recurrence risk between groups at 1, 6, or 12 months (P > .05). Ganglia were significantly smaller for both groups at 1 month versus baseline (P < .001). The A group demonstrated a significantly larger decrease in size at 1 month versus the AT group (MD ¼ 0.75 cm 2 , 95% confidence interval: 0.07-1.43, P ¼ .03). Both groups experienced significantly less pain at 1, 6, and 12 months (P < .03), but this was not significantly different between groups. Conclusion: Aspiration and Tisseel injection does not decrease DWG recurrence versus aspiration alone. Both interventions produced a significant decrease in pain. Although aspiration alone carries a high recurrence risk, it may provide sufficient symptomatic relief for patients with DWG. Résumé Objectif : Malgré les nombreux traitements des ganglions de la face dorsale du poignet (GFDP), les taux de récurrence sont elevés. Les auteurs ontévalué si la ponction suivie d'une injection de Tisseel réduisait le taux de récurrence de GFDP avec plus d'efficacité que la ponction seule. Méthodologie : Les adultes présentant un GFDP non traité ontété répartis au hasard entre la ponction seule (P) et la ponction suivie par une injection de Tisseel (PT). Les chercheurs les ont mesurés au départ, puis au bout de un, six et 12 mois. Le taux de récurrence représentait le résultat clinique primaire, et la taille des ganglions récurrents et la douleur maximale provoquée par le ganglion, les résultats cliniques secondaires. Les chercheurs ont comparé les données continues avec les tests de Student et les tests Mann-Whitney et les données catégorielles avec les tests du chi carré et les tests

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The triple technique: A simple and effective outpatient procedure for the dorsal wrist ganglion

Shakya

Garje

Rathore

2021

Journal of Clinical Orthopaedics and Trauma

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Background: Dorsal ganglia are the most common types of wrist ganglia. Though largely asymptomatic, they can cause pain, stiffness and require treatment. The different methods described for the management have high recurrence rates even up to 70%. We describe a new method which combines 3 of these methods thus aiming to achieve the best from each of the techniques. Methods: A prospective observational study was undertaken to include patients requiring surgery for dorsal ganglion. The method involved a combination of aspiration, steroid instillation and tranfixation with silk suture for 3 weeks. Various demographic parameters, operative variables and functional criteria like QuickDASH Score and Numerical Pain Rating scale (NPRS) were used. The patients were followed up for atleast 24 months. Overall satisfaction rate was also recorded. Results: 83 patients were included with a mean age of 31.7 ± 12.4 years. The mean duration of surgery was 12.0 ± 4.9 min and follow up was 29.8 ± 7.1 months. 15 patients had complex multilobulated ganglia. The most common indication for surgery was cosmesis. 4 complications were encountered of which 2 were superficial infections, 1 whitish discoloration locally and 1 case of persistent pain. We achieved a success rate of 95.2% with only 4 recurrences with a mean reduction in size to be 82.2 ± 5.8%. NPRS and QuickDASH scores improved significantly. Mean satisfaction rate was 89% and 84.3% wished to have the surgery again for a similar complaint. The loss of work was 2.5 ± 1.4 days. Conclusions: Triple Technique is an effective and safe technique with <5% recurrence at 2 years.

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The Effectiveness of Sodium Tetradecyl Sulfate in the Treatment of Wrist Ganglia

Abstract: Sodium tetradecyl sulfate is an effective sclerosing agent after aspiration of wrist ganglia with an excellent short-term efficacy and a long-term cure rate comparable to that of surgical excision.

Cited by 5 publications

References 8 publications

Cost Minimisation Using Clinic-Based Treatment for Common Hand Conditions – A Prospective Economic Analysis

Cost Minimisation Using Clinic-Based Treatment for Common Hand Conditions – A Prospective Economic Analysis

A Prospective Randomized Controlled Trial of Aspiration and Fibrin Sealant Use Versus Aspiration Alone in the Treatment of Dorsal Wrist Ganglia

The triple technique: A simple and effective outpatient procedure for the dorsal wrist ganglion

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