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KMID : 1037920200070020017
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Arthroscopy and Orthopedic Sports Medicine
2020 Volume.7 No. 2 p.17 ~ p.21
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Outcomes of arthroscopic dorsal wrist ganglion excision: a 44-month retrospective comparative study
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Amaro Pedro
Cardoso Afonso
Caldeira Jose
Falcao Pedro
Baptista Carolina
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Abstract
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Background: This study retrospectively compares the clinical outcomes of excision of dorsal cysts of the wrist by open and arthroscopic approaches, considering three variables: recurrence rates, residual pain, and the time required for patients to return to their work activities.
Methods: All patients who submitted to open or arthroscopic surgical excision of wrist ganglions between January 2012 and December 2017 were evaluated with a mean follow-up period of 44 months. Preoperative and postoperative pains were evaluated using a visual analogue scale, and functional outcomes were evaluated using the Disabilities of the Arm, Shoulder and Hand (Quick-DASH) questionnaire. Recurrences were confirmed by clinical examination, ultrasound, or magnetic resonance imaging.
Results: Our study showed that there are no statistically significant differences between the two surgical techniques regarding the recurrence rate or residual pain.
Conclusion: Patients who underwent arthroscopic surgery had a statistically significant early return to work.
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KEYWORD
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Arthroscopic excision, Open excision, Return to work, Wrist ganglion
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