Fernandes Carlos H, Meirelles Lia M, Raduan Neto Jorge, Fernandes Marcela, Dos Santos João Baptista G, Faloppa Flávio
1 Universidade Federal de São Paulo, Brazil.
Hand (N Y). 2019 Mar;14(2):236-241. doi: 10.1177/1558944717743601. Epub 2017 Nov 29.
Dorsal wrist ganglia are the most common soft tissue tumor type of the upper limb. Surgical resection, open or arthroscopic, is one of the most frequent procedures performed by hand surgeons. This study sought to perform an objective evaluation of the outcomes of arthroscopic resection of dorsal wrist ganglia and their recurrence rates over 4 years. Patients treated with arthroscopic resection were expected to have favorable outcomes and low complication rates after 4 years of follow-up.
We evaluated 34 cases of dorsal wrist ganglia in patients who underwent arthroscopic resection. The patients were evaluated using the Quick-Disabilities of the Arm, Shoulder and Hand (QuickDASH) outcome measure, visual analog scale (VAS) for pain, range of motion of the wrist, palmar grip strength, rates of recurrence, and complications.
During the postoperative period, the QuickDASH score averaged 2.3 points, the mean residual pain by VAS was 0.54, full range of wrist movement was recovered by all patients, and the mean palmar grip strength was 29.4 kgf; there was 1 case with recurrence. There were no severe postoperative complications throughout the follow-up period.
The outcomes, recurrence, and complications rates after 4 years of follow-up presented in this study support the use of arthroscopy as a treatment for dorsal wrist ganglion.
腕背腱鞘囊肿是上肢最常见的软组织肿瘤类型。手术切除，无论是开放手术还是关节镜手术，都是手外科医生最常进行的手术之一。本研究旨在对腕背腱鞘囊肿关节镜切除的结果及其4年复发率进行客观评估。预计接受关节镜切除治疗的患者在4年随访后会有良好的结果和较低的并发症发生率。
我们评估了34例行关节镜切除的腕背腱鞘囊肿患者。使用上肢、肩部和手部快速残疾评定量表（QuickDASH）、疼痛视觉模拟量表（VAS）、腕关节活动范围、掌侧握力、复发率和并发症对患者进行评估。
术后期间，QuickDASH评分平均为2.3分，VAS平均残余疼痛为0.54，所有患者腕关节活动范围均恢复正常，平均掌侧握力为29.4千克力；有1例复发。在整个随访期间没有严重的术后并发症。
本研究中4年随访后的结果、复发率和并发症发生率支持将关节镜检查作为腕背腱鞘囊肿的一种治疗方法。
