Rancu Albert L, Kammien Alexander J, Katsnelson Beatrice M, Diatta Fortunay H, Lewis Katelyn, Grauer Jonathan N, Colen David L
Yale School of Medicine, New Haven, CT, USA.
Hand (N Y). 2025 Feb 1:15589447251314142. doi: 10.1177/15589447251314142.
While diagnosis of ganglion cysts of the wrist in the pediatric population is common, data on management are limited. This study describes a nationwide analysis of the incidence and treatment of pediatric ganglion cysts.
Patients who were diagnosed with a wrist ganglion cyst were identified from the PearlDiver database. Exclusion criteria included age over 18 years, incidence of different cyst diagnosis codes, fewer than 6 months of records prior to first diagnosis, and fewer than 2 years of follow-up. The use of imaging and common treatments for ganglion cysts including bracing, aspiration/injection, and surgery were noted. Patients were followed for 2 years, and factors associated with undergoing surgery were analyzed. Trends in the diagnosis and surgical management of ganglion cysts by age were observed.
A total of 33 884 patients with a ganglion cyst on the wrist were identified. Diagnoses increased exponentially with age, while the percentage of patients who underwent surgery increased linearly with age. Those who underwent surgery tended to be older and were more likely to be female. These patients were also more likely to have undergone ultrasound or magnetic resonance imaging. There was a statistically significant difference in prior use of nonoperative management between patients that did and did not undergo surgery.
This study offers a nationwide analysis of pediatric ganglion cysts. These findings are important to consider during longitudinal patient counseling and surgical planning.
虽然小儿手腕腱鞘囊肿的诊断很常见，但关于其治疗的数据有限。本研究描述了一项关于小儿腱鞘囊肿发病率和治疗的全国性分析。
从PearlDiver数据库中识别出被诊断为手腕腱鞘囊肿的患者。排除标准包括年龄超过18岁、不同囊肿诊断编码的发生率、首次诊断前记录少于6个月以及随访少于2年。记录腱鞘囊肿的影像学使用情况和包括支具、抽吸/注射及手术在内的常用治疗方法。对患者进行2年随访，并分析与接受手术相关的因素。观察腱鞘囊肿诊断和手术治疗随年龄的趋势。
共识别出33884例手腕腱鞘囊肿患者。诊断随年龄呈指数增长，而接受手术的患者百分比随年龄呈线性增长。接受手术的患者往往年龄较大且更可能为女性。这些患者也更可能接受过超声或磁共振成像检查。接受手术和未接受手术的患者在术前非手术治疗的使用方面存在统计学显著差异。
本研究提供了一项关于小儿腱鞘囊肿的全国性分析。这些发现对于长期的患者咨询和手术规划具有重要参考价值。
