Arthroscopic Management Volar Ganglions

  • Carlos Henrique Fernandes
  • Cesar Dario Oliveira Miranda
Chapter

Abstract

In the last two decades the number of patients with indication for diagnosis and treatment of different pathology the wrist arthroscopy has increased significantly.

The best understanding of dorsal and volar cysts physiology allowed the use of video surgery as an important therapeutic tool. We reviewed the literature on arthroscopic resection of volar wrist ganglion. The publication dates ranged from 2001 to 2012. Only one was a prospective randomized study; the authors compared the open resection and arthroscopic resection. All of the other studies were level IV of evidence. We will describe arthroscopic technique for treating volar ganglion of the wrist. Arthroscopic resection of volar wrist ganglion was performed under sedation and local anesthesia in the portal and joint. The portal sites used for the radiocarpal joint are routinely 3–4, 4–5, and 1–2. Between 2007 and 2012, we performed 31 surgeries of arthroscopic resection of volar wrist ganglion. There were 23 female and 8 male patients. The average age was 38 years. Two patients have a volar intra-osseous ganglion of lunate bone. In these cases, we also used a volar radial portal.

As complications, we observed transient paresthesia of superficial radial nerve with spontaneous regression in one patient, two volar hematomas, and one recurrence.

The video surgery started to be a gold pattern in the diagnosis and treatment of intra-articular pathologies. This chapter contains video.

Keywords

Rubber Syringe Kelly Bupivacaine Lipoma 

Supplementary material

Video 22.1

Arthroscopic video showing mucinous liquid outlet into the radiocarpal joint (MP4 34996 kb)

Video 22.2

Arthroscopic video showing mucinous liquid outlet into the radiocarpal joint (MP4 2656 kb)

Video 22.3

Arthroscopic video showing interligamental interval during the operation permit the flexor pollicis longus tendon can be seen (MP4 13939 kb)

Video 22.4

Arthroscopic video showing interligamental interval during the operation permit the flexor pollicis longus tendon can be seen (MP4 5963 kb)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Carlos Henrique Fernandes
    • 1
  • Cesar Dario Oliveira Miranda
    • 2
  1. 1.Department of Orthopedic SurgeryUniversidade Federal de São PauloSão PauloBrazil
  2. 2.Department of Hand SurgeryHand Surgery Institute SalvadorSalvadorBrazil

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