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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2022; 50(01): e34-e42
DOI: 10.1055/s-0042-1748852
Original Article | Artículo Original

Dorsal Wrist Ganglia: Influence of Arthroscopic Dorsal Capsulodesis – A Pilot Study

Article in several languages: English | español
Melanie Ribau 
1   Department of Orthopedic Surgery and Trauma, Hospital de Braga, Braga, Portugal
,
Elisabete Fernanda Magalhães Ribeiro
1   Department of Orthopedic Surgery and Trauma, Hospital de Braga, Braga, Portugal
,
Cecília Alexandra Sá Barros
1   Department of Orthopedic Surgery and Trauma, Hospital de Braga, Braga, Portugal
,
Juvenália Martins Ribeiro
1   Department of Orthopedic Surgery and Trauma, Hospital de Braga, Braga, Portugal
,
Pedro Miguel Sousa Varanda 
1   Department of Orthopedic Surgery and Trauma, Hospital de Braga, Braga, Portugal
,
Luis Filipe Pacheco Rodrigues 
1   Department of Orthopedic Surgery and Trauma, Hospital de Braga, Braga, Portugal
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Abstract

Background Dorsal wrist ganglia are the commonest soft tissue tumor in the upper extremity. Management with arthroscopic excision yields good results and few complications, but recurrence is still a matter of concern.

Purpose To address the influence of dorsal capsulodesis in postoperative results.

Patients and Methods Two groups with eight patients each were evaluated: group A – simple arthroscopic resection (SAR), and group B – arthroscopic resection combined with dorsal capsulodesis (ARDC).

Results The mean age of group A was of 36.10 ±  7.96 (range: 28–53) years, and that of group B was of 34.17 ±  29.60 (range 18–44) years. The duration of the follow-up was of 30.67 ±  13.90 (range: 13.45–53.55) months and 29.60 ±  16.80 (range 12.68–62.13) months, respectively. Both groups achieved a a significant decrease in the postoperative score on the Visual Analog Scale (VAS) (of around 2/10), and the scores on the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire were below 5/100. All the functional parameters (range of motion and strength) were above 80% on the contralateral side, with no differences between groups. More than 75% of the patients were completely satisfied. Group A (37.5%) had a significantly higher recurrence rate than that of group B (12.5%).

Conclusions In conclusion, SAR and ARDC provided good clinical results, with no significant differences. Dorsal capsulodesis resulted in an important decrease in the recurrence rate.

Level of Evidence Level III (Retrospective Comparative Study).

Keywords

dorsal wrist ganglia - arthroscopy - dorsal capsuloscapholunate septum

Ethical Review Committee Statement

The current study took place after revision and approval by Ethical and Health Committee of Hospital de Braga, Braga, Portugal.




Publication History

Received: 10 January 2022

Accepted: 22 March 2022

Article published online:
23 June 2022

© 2022. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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