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J Wrist Surg 2021; 10(04): 350-358
DOI: 10.1055/s-0040-1721438
Procedure

Arthroscopic Resection of Wrist Volar Synovial Cyst: Technique Description and Case Series

Ricardo Kaempf de Oliveira
1   Department of Hand Surgery, Mãe de Deus Hospital, Porto Alegre, Brazil
2   Department of Hand Surgery, Santa Casa de Misericórdia Hospital, Porto Alegre, Brazil
,
João Pedro Farina Brunelli 
3   Hand and Microsurgery Service, Santa Casa de Misericórdia, São Paulo, Brazil
,
Vicente Carratalá
4   Traumatology Service, Unión de Mutuas and Quirónsalud Hospital of Valencia, Spain
,
Márcio Aita
5   Department of Hand Surgery, ABC Medical School, Santo André, Brazil
,
Gustavo Mantovani
6   Department of Hand Surgery, Hospital Beneficência Portuguesa, São Paulo, Brazil
7   Università degli Studi di Milano, Milano, Italy
,
Pedro J. Delgado
8   Department of Hand and Upper Limb Surgery, Hospital Universitário Madrid Montepríncipe, San Pablo CEU University, Boadilla del Monte, Madrid, Spain
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Abstract

Background Arthroscopy nowadays has become a widespread technique for the treatment of orthopaedic pathologies. Small-joint arthroscopy has evolved and, through direct visualization, enables diagnosis and immediate treatment of intra-articular lesions. The arthroscopic resection has become a minimally invasive alternative for the open technique. We intend to describe the technique, literature review, and results of arthroscopy for the surgical treatment of wrist volar synovial cysts.

Methods Thirty-nine patients submitted to arthroscopy for the treatment of wrist volar synovial cyst were included and assessed in this study, during the period of January 2015 to May 2017 with a complete assessment in minimum follow-up of 6 months. The technique was indicated for patients with pain and functional impairment for longer than 4 months, with no improvement with conservative measures, or for patients with cosmetic complaints, or those who presented the cyst for more than 3 months.

Results We demonstrated good outcomes in regard to pain, range of motion, and complications in arthroscopic resection of volar wrist ganglion.

Conclusion Arthroscopic resection of volar synovial is a useful and safe technique. It is a low-morbidity, minimally invasive procedure that carries few complications and is a good alternative to the open technique.

Keywords

musculoskeletal diseases/surgery - wrist joint - ganglionic cysts - arthroscopy/use


Publication History

Received: 22 April 2020

Accepted: 28 October 2020

Article published online:
03 January 2021

© 2021. Thieme. All rights reserved.

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