Journal List > J Korean Orthop Assoc > v.41(2) > 1012523

Kim, Kim, Yim, Min, and Kim: Arthroscopic Resection in the Management of Wrist Ganglion

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.

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