This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by CLAY, N. R. Articles by CLEMENT, D. A. Search for Related Content PubMed PubMed Citation Articles by CLAY, N. R. Articles by CLEMENT, D. A. Social Bookmarking                         What's this?

The Treatment of Dorsal Wrist Ganglia by Radical Excision

From the Department of Orthopaedic Surgery, University Hospital, Nottingham

The dorsal wrist ganglion is the commonest benign soft-tissue tumour of the hand. Its treatment has been the subject of discussion for centuries, many methods being accompanied by an unacceptably high recurrence rate. Surgical extirpation gives the most reliable results and success has been said to depend on the identification of an unvarying deep attachment of the ganglion to the scapholunate ligament. A previous study has suggested that if this is excised, there will be no recurrences and no residual symptoms. Our experience of 62 dorsal ganglia confirms that although a scapholunate origin is usual, ganglia may also arise from a variety of additional sites over the dorsal wrist capsule, particularly in the region of the capitate. Two ganglia have recurred and clinical review of 52 (84%) of the cases has shown that persistent discomfort following excision is not uncommon. One patient appears to have developed scapholunate instability.

Journal of Hand Surgery (British and European Volume), Vol. 13, No. 2, 187-191 (1988)
DOI: 10.1016/0266-7681(88)90135-0


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?