ESSR 2017 / P-0186
Recurrence of Hand/Wrist Ganglions Post Ultrasound-Guided Intervention
Keywords:
Cysts, Drainage, Ultrasound, Musculoskeletal system, Musculoskeletal joint
Authors:
S. Vrizidou , A. Jatan, G. McArthur, B. J. Roberton; London/UK
DOI:
10.1594/essr2017/P-0186
Results
- Referrals to unit n=124 ,
90 (72%) contactable for telephone follow- up.
- Age range 2–100 years,
average 48.3 years; male-to-female ratio1:4.
- Ganglion size range 0–80mm,
average 9.8 mm(SD 11.1mm); location 58(47% dorsal wrist ganglion).
- No significant difference between follow up and non follow up
- Fifty-four (60%)opted for intervention,(23 = aspirpiration,31=aspiration +CSI).
-36 (40%) declined.
- Recurrence occurred in :
- n= 30 patients (55%); 13 aspiration alone and 17 aspiration with CSI.
- No reported complications.
- There was no difference in gender predominance for recurrence.
- Also there was no statistically significant difference in patient age,
ganglion size or location for those with recurrence,
irrespective of intervention type.
- There was no statistically significant difference between those who were followed up and those who were not.
- Of those 36 patients undergoing ultrasound scan without intervention,
- 15 spontaneously resolved
- 21 were still present.
- Three patients of latter group either had undergone or were awaiting surgical excision.