Clinical Orthopaedics and Related Research®

, Volume 471, Issue 7, pp 2212–2218

Coexisting Intraarticular Disorders Are Unrelated To Outcomes After Arthroscopic Resection of Dorsal Wrist Ganglions

  • Ho Jung Kang
  • Il Hyun Koh
  • Ji Sub Kim
  • Yun Rak Choi
Clinical Research

DOI: 10.1007/s11999-013-2870-5

Cite this article as:
Kang, H.J., Koh, I.H., Kim, J.S. et al. Clin Orthop Relat Res (2013) 471: 2212. doi:10.1007/s11999-013-2870-5

Abstract

Background

Dorsal wrist ganglions are one of the most frequently encountered problems of the wrist and often are associated with intraarticular disorders. However, it is unclear whether coexisting intraarticular disorders influence persistent pain or recurrence after arthroscopic resection of dorsal wrist ganglions.

Questions/purposes

We investigated (1) which intraarticular disorders coexist with dorsal wrist ganglions and (2) whether they influenced pain, function, and recurrence after arthroscopic ganglion resection.

Methods

We retrospectively reviewed 41 patients with primary dorsal wrist ganglions who underwent arthroscopic resection. We also obtained VAS pain scores and the Mayo Wrist Scores (MWS) preoperatively and at 2 weeks, 6 weeks, 3 months, 6 months, 1 year, and annually thereafter postoperatively. Minimum followup was 24 months (mean, 38.9 months; range, 24–60 months).

Results

Twenty-one patients had other coexisting intraarticular disorders: 18 triangular fibrocartilage complex tears and nine intrinsic ligament tears. All coexisting disorders were treated simultaneously. Two years after surgery, the mean VAS pain score decreased from 2.4 to 0.6, and mean grip strength increased from 28 to 36 kg of force. The mean active flexion-extension showed no change. The mean MWS improved from 74 to 91. Three ganglions recurred. There was no difference in mean VAS pain score and MWS preoperatively and at 2 years after surgery or recurrence of ganglions between patients with or without coexisting lesions.

Conclusions

Intraarticular disorders commonly coexist with ganglions but we found they were unrelated to pain, function, and recurrence after arthroscopic resection of the ganglion when the intraarticular disorders were treated simultaneously.

Level of Evidence

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Copyright information

© The Association of Bone and Joint Surgeons® 2013

Authors and Affiliations

  • Ho Jung Kang
    • 1
  • Il Hyun Koh
    • 1
  • Ji Sub Kim
    • 1
  • Yun Rak Choi
    • 1
  1. 1.Department of Orthopaedic SurgerySeverance Hospital, Yonsei University College of MedicineSeoulSouth Korea

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