Abstract

DONNDORFF, Agustin G; GALLUCCI, Gerardo L  and  DE CARLI, Pablo. Seguimiento minimo de dos años: Ganglion dorsal de muñeca: reseccion artroscopica con tecnica "en seco". Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2017, vol.82, n.3, pp.195-205. ISSN 1852-7434.

Introduction: The purpose of this study is to describe the medium-term results of arthroscopic resection of dorsal wrist ganglia using the "dry technique". Methods: Twenty-two patients (22 wrists) were retrospectively evaluated with a minimum follow-up of 2 years. Eleven women and 11 men with an average age of 29 years (range 18-57). A clinical evaluation was performed preoperatively, at one month, and at the last control visit. Comparative wrist motion and grip strength, pain and function according to the visual analogue scale, functional QuickDASH and Wrightington scores, return to work, and intra and postoperative complications were evaluated. Mean follow-up was 42 months (range 24-60). Statistical analysis was performed using t test. Results: Two cases of ganglion recurrence were observed. No other complication was reported. Wrist motion and grip strength improved significantly, reaching 99% and 100%, respectively. Pain and function also improved significantly, as the functional QuickDASH score. According to Wrightington score, 18 cases were excellent, 3 were good, and one poor result. Twenty-one patients returned to their tasks without limitation, 20 of them refered to be satisfied with the final result. Conclusion: Arthroscopic resection using the "dry technique " represents a safe and effective alternative for the treatment of dorsal wrist ganglia, achieving pain relief, and functional and aesthetic improvement in most patients with early rehabilitation and a low incidence of recurrence.

Keywords : Arthroscopy; Wrist; Gorsal ganglia; Ganglionectomy.

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