Article
Ganglions in the hand and wrist: a new clinical and surgical approach
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Authors
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Roberto Melendez
- Clinica Reina Sofia, Bogota, Colombia
| Published: | February 6, 2020 |
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Outline
Text
Objectives/Interrogation: Surgical resection of the ganglions in the hand tends to be regarded as a simple intervention. However, this is far from real. For over 30 years the author has assembled surgical and clinical observations to build a complex and original conception of the problem. We believe that these remarks, made upon the way of doing the clinical history, the use of means of diagnostic aid and surgical aspects, have allowed us to develop concepts useful for the management of this pathology. The point of origin of the ganglion is not always to be found in a structure in the area of location of the cyst but may be far from it. Consequently, a number of cases are presented as "ganglions of eccentrical location" and a classification is proposed according to the location of the cyst and its point of origin.
Methods: Over 30 years of files were reviewed. Careful dissection had followed the path of the pedicle to its origin.
Results and Conclusions: Nine groups were classified according to the location of the cyst and 43 varieties according to their points of origin.
A clasification of ganglions of the hand and wrist is presented according to the location of the cyst and its point of origin. The concept of "ganglions of eccentric location" is introduced and relevant issues are defined about their diagnosis and surgical management.
