The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform
Sean Walsh - One of the best experts on this subject based on the ideXlab platform.
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Patient outcomes following Wrist Ganglion excision surgery
The Journal of hand surgery European volume, 2012Co-Authors: Johnathan Craik, Sean WalshAbstract:We present patient outcomes following surgical excision of primary Wrist ganglia over a 5 year period. Patients (48 of 59; 81%) responded to a questionnaire by post or telephone, with a mean time to follow-up of 44 (range 21–77) months. There was a statistically significant reduction in all reported symptoms, including pain, paraesthesia, weakness, stiffness, and cosmesis. The recurrence rate was 8%. In total, 98% of patients were satisfied or very satisfied with treatment. Surgical excision of primary Wrist ganglia may have advantages over aspiration and reassurance alone, particularly in reducing recurrence and hastening resolution of symptoms.
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PATIENT OUTCOMES FOLLOWING Wrist Ganglion EXCISION SURGERY
2011Co-Authors: Johnathan Craik, Sean WalshAbstract:Wrist ganglia are the commonest benign tumours of the hand consisting of a collagenous walled cavity containing gelatinous mucin material. These lesions can be managed by either reassurance alone, aspiration or surgical excision. However studies evaluating patient outcomes following these treatment modalities are limited and between them have often presented inconsistent results. Some recently published data has suggested that there is no long-term benefit of excision or aspiration over reassurance alone and as a result surgical excision of Wrist ganglia has fallen out of favour with some health care trusts. This aim of this retrospective, questionnaire based study was to assess patient outcomes following Wrist Ganglion excision surgery and to compare these results with current published evidence. Sixty two patients were identified from the hospital records database between July 2003 and March 2008. Fifty patients (80.6%) responded to a questionnaire by post or telephone call with a mean time to follow up of thirty nine months (range 16 to 71 months). Pain and cosmetic concern were the primary symptoms preoperatively, experienced by 78% and 70% of patients respectively. 26% to 48% of patients experienced other symptoms such as pins and needles, numbness, weakness and stiffness. Following surgery, there was a statistically significant reduction in all symptoms experienced. Ganglions recurred at the same location in five patients (12%) of which four would consider further surgery. 96% of patients were satisfied with the treatment they received. Our results regarding symptomatic relief are comparable with current published data. In addition our data provides further evidence that Ganglion excision surgery prevents recurrence to a greater extent than either aspiration or reassurance alone. Furthermore our recurrence rate is lower than other published reports evaluating Ganglion excision surgery which we believe underestimate the benefits offered by this treatment modality. As a result, Wrist Ganglion excision surgery remains an important treatment modality offering excellent results in terms of symptom resolution, patient satisfaction and Ganglion recurrence.
Hitoshi Hirata - One of the best experts on this subject based on the ideXlab platform.
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Sonography-guided arthroscopic excision is more effective for treating volar Wrist Ganglion than dorsal Wrist Ganglion.
Acta orthopaedica Belgica, 2018Co-Authors: Michiro Yamamoto, Shigeru Kurimoto, Katsuyuki Iwatsuki, Takanobu Nishizuka, Michael T. Nolte, Hitoshi HirataAbstract:The purpose of this study was to compare the treatment results of sonography-guided arthroscopic excision for volar and dorsal Wrist Ganglions. A total of 42 patients with Wrist Ganglions underwent sonography-guided arthroscopic resection. Clinical outcome measures included Wrist range of motion, grip strength, patient-rated questionnaire Hand20, and numerical pain rating scale. All patients were assessed for recurrence throughout the follow-up period. Ganglions were located at the dorsal Wrist in 26 cases and at the volar Wrist in 16 cases. The mean Hand20 and pain scores were significantly improved after sonography-guided arthroscopic resection for both volar and dorsal Wrist Ganglions. Recurrence was seen in six cases (23%) of dorsal Wrist Ganglion but no cases of volar Wrist Ganglion (P < .05). The use of sonography-guided arthroscopic Ganglion excision is better for treating volar Wrist Ganglion than dorsal Wrist Ganglion.
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sonography guided arthroscopy for Wrist Ganglion
Journal of Hand Surgery (European Volume), 2012Co-Authors: Michiro Yamamoto, Shigeru Kurimoto, Nobuyuki Okui, Masahiro Tatebe, Takaaki Shinohara, Hitoshi HirataAbstract:Purpose To describe how to combine the complementary features of sonography and arthroscopy to make the arthroscopic resection of Wrist Ganglions a safer and more reliable surgery. Methods A total of 22 patients with Wrist Ganglions had sonography-assisted arthroscopic resection. Sonographic visualization of Ganglions, adjacent structures (ie, vessels, nerves, and tendons), and the cycling tip of the arthroscopic shaver was assessed. Arthroscopic visualization of the Ganglions or Ganglion stalk was also assessed. Clinical outcome measures included Wrist range of motion, grip strength, and our patient-rated Hand 20 questionnaire. Results Sonographic visualization of the Ganglion stalk, adjacent structures, and the cycling tip of the arthroscopic shaver was possible in all 22 cases. However, Ganglion stalks were visualized by arthroscopy in only 4 cases. The mean range of motion and grip strength were not significantly changed following surgery. However, the mean Hand 20 score was significantly improved from 17 to 6 at final follow-up. Ganglion recurrence was seen in 2 cases at 6 and 8 months after surgery. Conclusions Sonography-guided Wrist arthroscopy provides several advantages for surgeons, including visualization of the Ganglions and Ganglion stalk, as well as of the arthroscopic shaver and adjacent structures such as nerves, vessels, and tendons to perform surgery safely. Type of study/level of evidence Therapeutic IV.
Johnathan Craik - One of the best experts on this subject based on the ideXlab platform.
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Patient outcomes following Wrist Ganglion excision surgery
The Journal of hand surgery European volume, 2012Co-Authors: Johnathan Craik, Sean WalshAbstract:We present patient outcomes following surgical excision of primary Wrist ganglia over a 5 year period. Patients (48 of 59; 81%) responded to a questionnaire by post or telephone, with a mean time to follow-up of 44 (range 21–77) months. There was a statistically significant reduction in all reported symptoms, including pain, paraesthesia, weakness, stiffness, and cosmesis. The recurrence rate was 8%. In total, 98% of patients were satisfied or very satisfied with treatment. Surgical excision of primary Wrist ganglia may have advantages over aspiration and reassurance alone, particularly in reducing recurrence and hastening resolution of symptoms.
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PATIENT OUTCOMES FOLLOWING Wrist Ganglion EXCISION SURGERY
2011Co-Authors: Johnathan Craik, Sean WalshAbstract:Wrist ganglia are the commonest benign tumours of the hand consisting of a collagenous walled cavity containing gelatinous mucin material. These lesions can be managed by either reassurance alone, aspiration or surgical excision. However studies evaluating patient outcomes following these treatment modalities are limited and between them have often presented inconsistent results. Some recently published data has suggested that there is no long-term benefit of excision or aspiration over reassurance alone and as a result surgical excision of Wrist ganglia has fallen out of favour with some health care trusts. This aim of this retrospective, questionnaire based study was to assess patient outcomes following Wrist Ganglion excision surgery and to compare these results with current published evidence. Sixty two patients were identified from the hospital records database between July 2003 and March 2008. Fifty patients (80.6%) responded to a questionnaire by post or telephone call with a mean time to follow up of thirty nine months (range 16 to 71 months). Pain and cosmetic concern were the primary symptoms preoperatively, experienced by 78% and 70% of patients respectively. 26% to 48% of patients experienced other symptoms such as pins and needles, numbness, weakness and stiffness. Following surgery, there was a statistically significant reduction in all symptoms experienced. Ganglions recurred at the same location in five patients (12%) of which four would consider further surgery. 96% of patients were satisfied with the treatment they received. Our results regarding symptomatic relief are comparable with current published data. In addition our data provides further evidence that Ganglion excision surgery prevents recurrence to a greater extent than either aspiration or reassurance alone. Furthermore our recurrence rate is lower than other published reports evaluating Ganglion excision surgery which we believe underestimate the benefits offered by this treatment modality. As a result, Wrist Ganglion excision surgery remains an important treatment modality offering excellent results in terms of symptom resolution, patient satisfaction and Ganglion recurrence.
Melvin P. Rosenwasser - One of the best experts on this subject based on the ideXlab platform.
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Recurrence Rates of Dorsal Wrist Ganglion Cysts After Arthroscopic Versus Open Surgical Excision: A Retrospective Comparison
HAND, 2021Co-Authors: Matthew W. Konigsberg, Liana J. Tedesco, John D. Mueller, Jacob R. Ball, R. Kumar Kadiyala, Robert J. Strauch, Melvin P. RosenwasserAbstract:Background This study directly compares the recurrence rates of dorsal Wrist Ganglion cysts in patients treated via open surgical excision versus arthroscopic surgical excision. We hypothesized that there would be no difference between recurrence rates with these 2 surgical options. Methods We retrospectively reviewed the charts of all patients with a dorsal Ganglion cyst undergoing either open or arthroscopic surgical excision at a single academic center with 3 fellowship-trained attending hand surgeons from 2012 to 2017. Charts were identified using Current Procedural Terminology codes and were reviewed using postoperative office notes for preoperative and postoperative symptoms, episodes of recurrence, time at which recurrence occurred, subsequent operations, and outcome at final follow-up. Results The charts of 172 patients undergoing either arthroscopic or open dorsal Ganglion excision were reviewed. Nine of 54 (16.7%) arthroscopic excisions resulted in cyst recurrence, while 8 of 118 (6.8%) open excisions resulted in cyst recurrence ( P = .044). Two of 9 (22%) recurrences after arthroscopic Ganglion excision versus 2 of 8 (25%) recurrences after open Ganglion excision underwent repeat surgical intervention. Time to recurrence, as well as final follow-up, was not statistically different between groups. Conclusions Dorsal Wrist Ganglion cysts are the most common benign soft tissue mass of the upper extremity, but it remains unknown whether arthroscopic or open surgical excision leads to lower recurrence rate. Scant literature exists directly comparing these 2 methods of surgical excision. This study suggests that open excision of dorsal Wrist ganglia leads to a lower recurrence rate than does arthroscopic excision.
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Recurrence Rates of Dorsal Wrist Ganglion Cysts After Arthroscopic Versus Open Surgical Excision: A Retrospective Comparison.
Hand (New York N.Y.), 2021Co-Authors: Matthew W. Konigsberg, Liana J. Tedesco, John D. Mueller, Jacob R. Ball, R. Kumar Kadiyala, Robert J. Strauch, Melvin P. RosenwasserAbstract:This study directly compares the recurrence rates of dorsal Wrist Ganglion cysts in patients treated via open surgical excision versus arthroscopic surgical excision. We hypothesized that there would be no difference between recurrence rates with these 2 surgical options. We retrospectively reviewed the charts of all patients with a dorsal Ganglion cyst undergoing either open or arthroscopic surgical excision at a single academic center with 3 fellowship-trained attending hand surgeons from 2012 to 2017. Charts were identified using Current Procedural Terminology codes and were reviewed using postoperative office notes for preoperative and postoperative symptoms, episodes of recurrence, time at which recurrence occurred, subsequent operations, and outcome at final follow-up. The charts of 172 patients undergoing either arthroscopic or open dorsal Ganglion excision were reviewed. Nine of 54 (16.7%) arthroscopic excisions resulted in cyst recurrence, while 8 of 118 (6.8%) open excisions resulted in cyst recurrence (P = .044). Two of 9 (22%) recurrences after arthroscopic Ganglion excision versus 2 of 8 (25%) recurrences after open Ganglion excision underwent repeat surgical intervention. Time to recurrence, as well as final follow-up, was not statistically different between groups. Dorsal Wrist Ganglion cysts are the most common benign soft tissue mass of the upper extremity, but it remains unknown whether arthroscopic or open surgical excision leads to lower recurrence rate. Scant literature exists directly comparing these 2 methods of surgical excision. This study suggests that open excision of dorsal Wrist ganglia leads to a lower recurrence rate than does arthroscopic excision.
John C. Elfar - One of the best experts on this subject based on the ideXlab platform.
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Extensor tendon lacerations from arthroscopic excision of dorsal Wrist Ganglion: case report.
The Journal of hand surgery, 2013Co-Authors: Anna R. Cooper, John C. ElfarAbstract:Arthroscopy is an accepted technique for the resection of Wrist Ganglions. The reported complication rate is comparable with open resection at 2%; however, this rate may be underestimated. Most reported complications are relatively benign and self-limited. In this case report, we detail lacerations of multiple digital extensor tendons from arthroscopic resection of a dorsal Ganglion and describe our management of this complication.
