J Korean Orthop Assoc.  2006 Apr;41(2):310-314.

Arthroscopic Resection in the Management of Wrist Ganglion

Affiliations
  • 1Department of Orthopaedic Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea. kbsos@schbc.ac.kr

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.

Keyword

Wrist ganglion; Arthroscopy; Resection
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