J Korean Soc Surg Hand.  2016 Dec;21(4):173-180. 10.12790/jkssh.2016.21.4.173.

Wrist Ganglion: Current Review of Literature for Pathogenesis and Treatment

• Kim JH

• KMID: 2364207
• DOI: http://doi.org/10.12790/jkssh.2016.21.4.173

Abstract

Ganglion cysts are benign soft tissue tumors most commonly encountered in hand and wrist. Sixty to seventy percent of these are found in the dorsal aspect of the wrist. They are more common in the twenties to forties and in female. Its origin and pathogenesis remain unproved and there are several theories for genesis of ganglion. Non-surgical treatment is unreliable with a high recurrence rates. Open surgical excision is still golden standard treatment for wrist ganglion. Recently Arthroscopic excision has been tried to reduce unsightly scar and some complications, but still has some limitations. We reviewed the current literature available on wrist ganglion.

Keyword

Wrist; Hand; Ganglion; Pathogenesis; Treatment

MeSH Terms

Cicatrix
Female
Ganglion Cysts*
Hand
Humans
Recurrence
Wrist*

Figure

• 

  Fig. 1. Arthroscopic visualization of the dorsal ganglion through the 4–5 portal (A). We can see the redundant material of scapholunate ligament (B), through which arthroscopic resection of hemorrhagic ganglion wall (C) has been performed (D).

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  Fig. 2. Arthroscopic visualization through the 3–4 portal. We can see the redundant material and synovitis between radioscaphocapitate ligament and long radiolunate ligament (A), through which arthroscopic resection (B) has been performed (C).

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