Diagnosis and Management of Dorsal Wrist Ganglions

Abstract

Ganglions are the most common benign soft-tissue tumors of the hand and wrist. The most common location for these lesions, in 60% to 70% of patients, is the dorsum of the hand and wrist (dorsal wrist ganglions). Mostly, they arise from the wrist joint and extensor tendon sheath, but they may also be intratendinous. Nonsurgical treatment of dorsal wrist ganglions includes observation, splinting of the hand and wrist for comfort, and aspiration of the cyst. Surgical treatment involves open marginal excision of the cyst that includes the body of the cyst and the stalk from which the cyst arises. Open marginal excision is an effective surgical treatment for dorsal wrist ganglions, with a recurrence rate ranging from 5% to 10%. Arthroscopic resection is a relatively new option, and provides a minimally invasive and effective alternative to open ganglionectomy, with comparable outcomes.

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