Ganglions of the wrist and digits: Results of treatment by aspiration and cyst wall puncture

Jonathan A. Richman, Richard H. Gelberman, William D. Engber, Peter B. Salamon, Delois J. Bean

Research output: Contribution to journalArticlepeer-review

73 Scopus citations

Abstract

In a prospective study, 87 carpal and digital ganglions were aspirated, multiply punctured, and digitally ruptured. Fifty percent of wrists and digits were immobilized for 3 weeks and 50% were mobilized early. Mean follow-up was 22 months. Thirty-six percent (31/87) of all ganglions treated showed a successful outcome. Twenty-seven percent (16/60) of dorsal carpal, 43% (6/14) of palmar carpal, and 69% (9/13) of palmar digital ganglions did not recur. Immobilization significantly improved the results of treatment of dorsal carpal ganglions. Forty percent (12/30) of those in the immobilization group and 13% (4/30) of those in the early mobilization group had a successful outcome (p < 0.05).

Original languageEnglish
Pages (from-to)1041-1043
Number of pages3
JournalJournal of Hand Surgery
Volume12
Issue number6
DOIs
StatePublished - 1987

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