J Korean Soc Surg Hand.  2010 Sep;15(3):136-142.

Arthroscopic Resection of Volar Ganglion of the Wrist Joint

• Rhyou I
• Kim HJ
• Suh BG
• Chung C
• Kim KC

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.

Keyword

Wrist; Volar ganglion; Arthroscopic resection

MeSH Terms

Cicatrix
Cosmetics
Follow-Up Studies
Ganglion Cysts
Humans
Incidence
Ligaments
Median Nerve
Paresthesia
Recurrence
Synovitis
Wrist
Wrist Joint
Cosmetics