Arthroscopic Resection of Volar Ganglion of the Wrist Joint

Rhyou,  Inhyeok; Kim,  Hyeong Jin; Suh,  Bo Gun; Chung,  Chaeik; Kim,  Kyung Chul

Journal of the Korean Society for Surgery of the Hand 2010;15(3):136-142.
Published online September 1, 2010.

Inhyeok Rhyou, Hyeong Jin Kim, Bo Gun Suh, Chaeik Chung, Kyung Chul Kim

Upper Extremity and Microsurgery Center, Department of Orthopedic Surgery, Semyeong Christianty Hospital, Pohang, Kyeongbuk, Korea. inhyeok_r@yahoo.co.kr

Abstract

Purpose
To evaluate the results of arthroscopic resection of volar ganglion of the wrist. MATERIALS AND METHODS: Nine patients who had arthroscopic resection of volar ganglion of wrist were evaluated. Using 3-4 poral as a viewing portal, volar ganglion was debrided through the radioscaphocapitate (RSC) ligament and long radiolunate (LRL) ligament using a resector inserted from the 1-2 or 4-5 portal. We evaluated the incidence of relapse, the time to postoperative disappearance of pain, surgical complications, and intra-articular derangements.

Results
Eight patients had synovitis around radial styloid process. Three patients had capsular tear between RSC ligament and LRL ligament. There was no relapse at an average follow-up of 15 months. The pain felt during daily activities subsided at 2.5 months after operation in 9 patients. One patient had partial injury of the median nerve causing persistent paresthesia. All were satisfied for the postoperative scars.

Conclusion
Arthroscopic resection is a reliable option with good cosmetic results for the treatment of volar ganglion of the wrist.