Arthroscopic Resection in the Management of Wrist Ganglion / 대한정형외과학회잡지

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.