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Outcomes of arthroscopic dorsal wrist ganglion excision: a 44-month retrospective comparative study

Arthroscopy and Orthopedic Sports Medicine 2020년 7권 2호 p.17 ~ 21
Amaro Pedro, Cardoso Afonso, Caldeira Jose, Falcao Pedro, Baptista Carolina,
소속 상세정보
 ( Amaro Pedro ) - Hospital Beatriz Angelo Department of Orthopaedic
 ( Cardoso Afonso ) - Hospital Beatriz Angelo Department of Orthopaedic
 ( Caldeira Jose ) - Hospital Beatriz Angelo Department of Orthopaedic
 ( Falcao Pedro ) - Hospital Beatriz Angelo Department of Orthopaedic
 ( Baptista Carolina ) - Hospital Beatriz Angelo Department of Orthopaedic

Abstract


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.

키워드

Arthroscopic excision; Open excision; Return to work; Wrist ganglion

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