Ultrasound-guided resection of dorsal wrist ganglion

  • Damián G. Bustos Sanatorio Allende Cordoba Argentina
  • Silvio Marchegiani Jefe de servicio Diagnostico por Imagenes Sanatorio Allende Cordoba Argentina
  • Orlando Rodríguez Sanatorio allende Cordoba Argentina
  • Pablo Bruno sanatorio Allende
  • Alberto J. Jabif Sanatorio Allende
  • Christian Allende Medico traumatologo. Departamento de Miembro Superior y microcirugía. Sanatorio Allende Cordoba Argentina
DOI: https://doi.org/10.15417/188
Keywords: Ganglion, Treatment, Ultrasound

Abstract

Background: the aim of this study was to prospectively evaluate the results of dorsal wrist ganglion cyst drainage and pedicle rupture under ultrasound guidance, and to determine recurrence rate, complications and subjective outcomes.Methods: thirty-two patients with symptomatic dorsal wrist ganglion cysts treated by ultrasound-guided puncture, aspiration and pedicle rupture with a trochar, between January 2010 and June 2011, were prospectively evaluated. Age of the patients averaged 31 years. All pa- tients returned to their previous daily activities the day after the procedure. DASH score before the procedure averaged 2.90 points. The pre-drainage visual analog scale for pain averaged 7.75 points. Patients were divided into two groups: without previous surgery (group 1: 19 patients) or with previous surgery (group 2: 13 patients).Results:­ eleven patients had recurrences (34.3%) after a six-month follow-up: 5 patients in group 1 (26.31%) and 6 in group 2 (46.1%). DASH score at final follow-up averaged 1.91 points. Pain score at last follow-up averaged 1.53 points. There were no neurological or tendinous complications, infection or hematomas (follow-up 6 months).Conclusions:­ the technique under ultrasound guidance is minimally invasive with an acceptable recurrence rate (26% in patients without previous surgical interventions), considering that it presents less risk than surgical procedures, its lower cost and the immediate return to work. 

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Author Biographies

Damián G. Bustos, Sanatorio Allende Cordoba Argentina
Residente de cuarto año Ortopedia y Trauamtologia. Sanatorio Allnde Cordoba Argentina
Silvio Marchegiani, Jefe de servicio Diagnostico por Imagenes Sanatorio Allende Cordoba Argentina
Jefe de servicio Diagnostico por Imagenes Sanatorio Allende Cordoba Argentina
Orlando Rodríguez, Sanatorio allende Cordoba Argentina
Medico Traumatologo departamento Miembro Superior Sanatorio Allende
Pablo Bruno, sanatorio Allende
Residente de cuarto año Ortopedia y Trauamtologia. Sanatorio Allnde Cordoba Argentina
Alberto J. Jabif, Sanatorio Allende
Residente de primer año Ortopedia y Traumatologia
Christian Allende, Medico traumatologo. Departamento de Miembro Superior y microcirugía. Sanatorio Allende Cordoba Argentina
Medico traumatologo. Departamento de Miembro Superior y microcirugía. Sanatorio Allende Cordoba Argentina

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Published
2015-01-22
How to Cite
Bustos, D. G., Marchegiani, S., Rodríguez, O., Bruno, P., Jabif, A. J., & Allende, C. (2015). Ultrasound-guided resection of dorsal wrist ganglion. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 80(1), 6-11. https://doi.org/10.15417/188
Issue
Vol 80 No 1 (2015)
Section
Clinical Research

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