gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Arthroscopic resection of volar wrist ganglion: surgical technique description and a prospective series of 39 patients

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  • presenting/speaker Ricardo Kaempf - Hospital Santa Casa de Porto Alegre, Porto Alegre, Brazil
  • João Farina Brunelli - Hospital Santa Casa de Porto Alegre, Porto Alegre, Brazil
  • Márcio Aita - Faculdade de Medicina do ABC, São Paulo, Brazil
  • Gustavo Mantovani - Hospital Beneficência Portuguesa, São Paulo, Brazil
  • Vicente Carratalá Baixauli - Hospital Quiron Salud, València, Spain
  • Pedro J. Delgado - Hospital Universitário Montepríncipe, Madrid, Spain

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-529

doi: 10.3205/19ifssh0960, urn:nbn:de:0183-19ifssh09608

Published: February 6, 2020

© 2020 Kaempf et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: To describe the technique and results of arthroscopy for the surgical treatment of volar ganglion cyst of the wrist.

Methods: This study comprised 39 patients that were submitted to arthroscopic treatment of volar ganglion cysts of the wrist during January 2015 to May 2017, with minimum follow-up of six months.

The technique was indicated for those patients who presented pain and functional impairment for more than four months, with no improvement with conservative treatment, or for those with cosmetic complaints and the presence of the cyst for over three months.

Results and Conclusions: Mean patient age was 42.4 years; 28 were females (71%), and 23 affected the right side (59%).

Mean follow-up from surgery to final assessment was 8.8 months.

Two patients complained postoperatively of mild pain, whilst another patient presented slight motion restrictions. The 37 remaining patients reported improvement of cosmetic complaints, along with complete functional recovery, and pain improvement. There were no recurrences or infections. No patient required further surgery.

The arthroscopic resection of volar ganglion cyst is a useful and safe technique. It is a minimally invasive procedure, with low morbidity and very few complications, representing a good alternative to the open technique (Figure 1 [Fig. 1]).