Arthroscopic Resection in the Management of Wrist Ganglion.
10.4055/jkoa.2006.41.2.310
- Author:
Byung Sung KIM
1
;
Eung Ha KIM
;
Soo Jae YIM
;
Kyung Dae MIN
;
Jun Bum KIM
Author Information
1. Department of Orthopaedic Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea. kbsos@schbc.ac.kr
- Publication Type:Original Article
- Keywords:
Wrist ganglion;
Arthroscopy;
Resection
- MeSH:
Arthroscopy;
Follow-Up Studies;
Ganglion Cysts*;
Hand Strength;
Humans;
Range of Motion, Articular;
Recurrence;
Wrist*
- From:The Journal of the Korean Orthopaedic Association
2006;41(2):310-314
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyze the results of an arthroscopic resection of a wrist ganglion. MATERIALS AND METHODS: Seventeen cases were analyzed. Eleven cases were treated by arthroscopic resection and 6 cases were treated by an arthroscopic resection and a pull out extracapsular sac. For the functional evaluation, the level of pain, grip strength, range of motion and patient's satisfaction were analyzed. The average follow-up time was 22 months (10-38). RESULTS: In all patients, the functional results improved and all patients returned to work. No recurrence was noted. A ganglion stalk was identified in 14 cases, including 8 cases (scapholunate ligament), 3 cases (midcarpal joint), 1 cases (dual stalk), 1 case (lunotriquetral ligament) and 1 case (carpometacarpal joint). There was no case of Scapholunate instability and the scapholunate angle and gap were within the normal limits. CONCLUSION: An arthroscopic resection of a wrist ganglion is a safe and reliable alternative to an open resection.