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KMID : 0361620060410020310
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Journal of the Korean Orthopaedic Association
2006 Volume.41 No. 2 p.310 ~ p.314
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Arthroscopic Resection in the Management of Wrist Ganglion
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김병성/Kim BS
김응하/임수재/민경대/김준범/Kim EH/Yim SJ/Min KD/Kim JB
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Abstract
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Purpose: To analyze the results of an arthroscopic resection of a wrist ganglion.
Materials & Methods: Seventeen cases were analyzed. Eleven cases were treated by arthroscopic resection and 6 cases were treated by an arthroscopic resection and a pull out extracapsular sac. For the functional evaluation, the level of pain, grip strength, range of motion and patient’s satisfaction were analyzed. The average follow-up time was 22 months (10-38).
Results: In all patients, the functional results improved and all patients returned to work. No recurrence was noted. A ganglion stalk was identified in 14 cases, including 8 cases (scapholunate ligament), 3 cases (midcarpal joint), 1 cases (dual stalk), 1 case (lunotriquetral ligament) and 1 case (carpometacarpal joint). There was no case of Scapholunate instability and the scapholunate angle and gap were within the normal limits.
Conclusion: An arthroscopic resection of a wrist ganglion is a safe and reliable alternative to an open resection.
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