Download PDF
J Wrist Surg 2023; 12(01): 052-055
DOI: 10.1055/s-0042-1756673
Scientific Article

Clinical Results of Arthroscopic Resection of Dorsal Wrist Ganglion with a Minimum of 3 Years Follow-up

Hossein Saremi
1   Department of Orthopedics, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
,
Mohammad Mohammadi bolbanabad
2   Students research center, Hamadan university of medical sciences, Hamadan, Iran
,
Amir Reza Abdollahian
2   Students research center, Hamadan university of medical sciences, Hamadan, Iran
,
Younes Mohammadi
3   Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

Introduction Ganglion cysts are the most common benign tumors of the wrist. Their arthroscopic resection is becoming common. However, there are a limited number of studies comparing arthroscopic and open surgeries. This study evaluated the subjective and objective results of arthroscopy with a minimum of 3 years follow-up.

Patients and Methods Patients with dorsal wrist ganglion who underwent arthroscopic ganglionectomy were evaluated regarding pain (using visual analog scale) and satisfaction as subjective results. We also evaluated their scar (with the Vancouver scar scale), range of motion, and recurrence as objective results.

Results There were 20 patients in the study. Mean of follow-up time was 52.5 months. Recurrence rate was 5%, and visual analog scale of pain decreased from 3.7 to 0.5 at the final follow-up. Sixteen patients were completely satisfied, three patients were partially satisfied, and one patient was unsatisfied. The mean of Vancouver scar scale was 1.4 (range of 0–3). Improvement in range of flexion and extension of the wrist was significant without a significant complication.

Conclusion Arthroscopic excision of dorsal wrist ganglion in the way described in this study is a safe and effective method that improves pain and range of motion of the wrist without major complications. The rate of recurrence was less than those reported for open surgery in long-term follow-up. The surgery scar has a promising score in Vancouver scar scale.

Keywords

ganglion cyst - wrist arthroscopy - Vancouver scar scale


Publication History

Received: 26 May 2021

Accepted: 22 July 2022

Article published online:
09 November 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Mathoulin C, Gras M. Arthroscopic management of dorsal and volar wrist ganglion. Hand Clin 2017; 33 (04) 769-777
    CrossrefPubMedGoogle Scholar
  • 2 Ho PC, Griffiths J, Lo WN, Yen CH, Hung LK. Current treatment of ganglion of the wrist. Hand Surg 2001; 6 (01) 49-58
    CrossrefPubMedGoogle Scholar
  • 3 Gallego S, Mathoulin C. Arthroscopic resection of dorsal wrist ganglia: 114 cases with minimum follow-up of 2 years. Arthroscopy 2010; 26 (12) 1675-1682
    CrossrefPubMedGoogle Scholar
  • 4 Fernandes CH, Miranda CD, Dos Santos JB, Faloppa F. A systematic review of complications and recurrence rate of arthroscopic resection of volar wrist ganglion. Hand Surg 2014; 19 (03) 475-480
    CrossrefPubMedGoogle Scholar
  • 5 Meena S, Gupta A. Dorsal wrist ganglion: current review of literature. J Clin Orthop Trauma 2014; 5 (02) 59-64
    CrossrefPubMedGoogle Scholar
  • 6 Suen M, Fung B, Lung CP. Treatment of ganglion cysts. ISRN Orthop 2013; 2013: 940615
    CrossrefPubMedGoogle Scholar
  • 7 d'Ailly PN, Koopman JE, Selles CA, Rahimtoola ZO, Schep NWL. Patient-related outcomes of arthroscopic resection of ganglion cysts of the wrist. J Wrist Surg 2021; 10 (01) 31-35
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Head L, Gencarelli JR, Allen M, Boyd KU. Wrist ganglion treatment: systematic review and meta-analysis. J Hand Surg Am 2015; 40 (03) 546-53.e8
    CrossrefPubMedGoogle Scholar
  • 9 Aslani H, Najafi A, Zaaferani Z. Prospective outcomes of arthroscopic treatment of dorsal wrist ganglia. Orthopedics 2012; 35 (03) e365-e370
    CrossrefPubMedGoogle Scholar
  • 10 Rocchi L, Canal A, Pelaez J, Fanfani F, Catalano F. Results and complications in dorsal and volar wrist ganglia arthroscopic resection. Hand Surg 2006; 11 (1-2): 21-26
    CrossrefPubMedGoogle Scholar
  • 11 Mathoulin C, Hoyos A, Pelaez J. Arthroscopic resection of wrist ganglia. Hand Surg 2004; 9 (02) 159-164
    CrossrefPubMedGoogle Scholar
  • 12 Kang L, Akelman E, Weiss AP. Arthroscopic versus open dorsal ganglion excision: a prospective, randomized comparison of rates of recurrence and of residual pain. J Hand Surg Am 2008; 33 (04) 471-475
    CrossrefPubMedGoogle Scholar
  • 13 Edwards SG, Johansen JA. Prospective outcomes and associations of wrist ganglion cysts resected arthroscopically. J Hand Surg Am 2009; 34 (03) 395-400
    CrossrefPubMedGoogle Scholar
  • 14 Kang HJ, Koh IH, Kim JS, Choi YR. Coexisting intraarticular disorders are unrelated to outcomes after arthroscopic resection of dorsal wrist ganglions. Clin Orthop Relat Res 2013; 471 (07) 2212-2218
    CrossrefPubMedGoogle Scholar
  • 15 Lidder S, Ranawat V, Ahrens P. Surgical excision of wrist ganglia; literature review and nine-year retrospective study of recurrence and patient satisfaction. Orthop Rev (Pavia) 2009; 1 (01) e5
    PubMedGoogle Scholar
  • 16 Dias JJ, Dhukaram V, Kumar P. The natural history of untreated dorsal wrist ganglia and patient reported outcome 6 years after intervention. J Hand Surg Eur Vol 2007; 32 (05) 502-508
    CrossrefPubMedGoogle Scholar
  • 17 Rocchi L, Canal A, Fanfani F, Catalano F. Articular ganglia of the volar aspect of the wrist: arthroscopic resection compared with open excision. A prospective randomised study. Scand J Plast Reconstr Surg Hand Surg 2008; 42 (05) 253-259
    CrossrefPubMedGoogle Scholar