Clinic of Traumatology and Hand Surgery, Department of Traumatology, Wroclaw Medical University, Poland.
Division of Organization and Management, Department of Public Health, Faculty of Health Sciences, Wroclaw Medical University, Poland.
Adv Clin Exp Med. 2019 Jan;28(1):95-102. doi: 10.17219/acem/81202.
The wrist, especially its dorsal surface, is the most common location of ganglion cysts in the human body.
The purpose of this study was to present our experience in the treatment of wrist ganglions and to evaluate the results obtained with the operative management of this type of lesion.
A total of 394 patients (289 females and 105 males, aged 10-83 years) treated operatively for wrist ganglions between 2000 and 2014 were included in the study. The results of surgical treatment were evaluated after a minimal 2-year-long follow-up in 69.4% of patients operated on for dorsal wrist ganglions and in 70.6% of patients after the excision of volar wrist ganglions. The shape and size of postoperative scar, range of motion of the wrist, grip strength, severity of pain, and presence/absence of ganglion recurrence were assessed. The influence of demographic factors on the risk of recurrence was statistically analyzed.
Persistent limitation of wrist palmar flexion was observed in 6 patients after the removal of dorsal wrist ganglions. There were no cases of postoperative grip strength weakening. An unesthetic scar developed in 15 patients after the excision of dorsal wrist ganglions and in 6 patients after the removal of volar wrist ganglions. Postoperative pain was observed in 7 patients with ganglion recurrence and in 17 patients without recurrence. Ganglion cysts recurred in 12.1% of patients treated for dorsal wrist ganglions and in 10.4% of patients operated on for volar wrist ganglions. No influence of patient gender, age, body side, or cyst location on ganglion recurrence was detected.
Operative treatment is a widely recognized method of management of wrist ganglions. The rate of resulting persistent complications is low. Recurrence of ganglion cysts is unpredictable and independent of patient demographic factors. It can be observed even in cases, in which a perfect surgical technique has been used.
手腕，特别是其背侧，是人体中最常见的腱鞘囊肿位置。
本研究旨在介绍我们在治疗手腕腱鞘囊肿方面的经验，并评估手术治疗这种病变的结果。
共纳入 2000 年至 2014 年间因手腕腱鞘囊肿接受手术治疗的 394 例患者（女 289 例，男 105 例，年龄 10-83 岁）。对 69.4%的背侧手腕腱鞘囊肿手术患者和 70.6%的掌侧手腕腱鞘囊肿切除患者进行了至少 2 年的随访，评估手术治疗的结果。评估术后疤痕的形状和大小、手腕活动度、握力、疼痛严重程度以及腱鞘囊肿的复发情况。统计分析了人口统计学因素对复发风险的影响。
12 例（12.1%）背侧手腕腱鞘囊肿切除术后和 4 例（10.4%）掌侧手腕腱鞘囊肿切除术后出现囊肿复发。在切除背侧手腕腱鞘囊肿后，有 6 例患者出现腕掌屈持续受限，无术后握力减弱病例。在切除背侧手腕腱鞘囊肿后，15 例患者出现不美观的疤痕，在切除掌侧手腕腱鞘囊肿后，有 6 例患者出现这种情况。在有复发的 7 例患者和无复发的 17 例患者中均观察到术后疼痛。
手术治疗是一种广泛认可的手腕腱鞘囊肿治疗方法。其导致持续并发症的发生率较低。腱鞘囊肿的复发是不可预测的，与患者的人口统计学因素无关。即使采用了完美的手术技术，也可能会发生复发。
