Journal
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
Volume 32E, Issue 5, Pages 502-508Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.jhse.2007.05.007
Keywords
wrist ganglia; recurrence; outcome; natural history; surgery; aspiration
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We have evaluated the long-term outcome of excision, aspiration and no treatment of dorsal wrist ganglia prospectively in 236 (83%) of 283 patients who responded to a postal questionnaire at a mean of 70 months. The resolution of symptoms was similar between the treatment groups (p > 0.3). Pain and unsightliness improved in all three treatment groups. The prevalence of weakness and stiffness altered only slightly in all three treatment groups. More patients with a recurrent, or persistent ganglion complained of pain, stiffness and unsightliness (p < 0.0001). Patient satisfaction was higher after surgical excision (p < 0.0001), even if the ganglion recurred. Twenty-three of 55 (58%) untreated ganglia resolved spontaneously. The recurrence rate was 58% (45/78) and 39% (40/103) following aspiration and excision, respectively. Eight out of 103 patients had complications following surgery. In this study, neither excision nor aspiration provided significant long-term benefit over no treatment.
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