PMID- 23430724
OWN - NLM
STAT- MEDLINE
DCOM- 20130828
LR  - 20211021
IS  - 1528-1132 (Electronic)
IS  - 0009-921X (Print)
IS  - 0009-921X (Linking)
VI  - 471
IP  - 7
DP  - 2013 Jul
TI  - Coexisting intraarticular disorders are unrelated to outcomes after arthroscopic 
      resection of dorsal wrist ganglions.
PG  - 2212-8
LID - 10.1007/s11999-013-2870-5 [doi]
AB  - BACKGROUND: Dorsal wrist ganglions are one of the most frequently encountered 
      problems of the wrist and often are associated with intraarticular disorders. 
      However, it is unclear whether coexisting intraarticular disorders influence 
      persistent pain or recurrence after arthroscopic resection of dorsal wrist 
      ganglions. QUESTIONS/PURPOSES: We investigated (1) which intraarticular disorders 
      coexist with dorsal wrist ganglions and (2) whether they influenced pain, 
      function, and recurrence after arthroscopic ganglion resection. METHODS: We 
      retrospectively reviewed 41 patients with primary dorsal wrist ganglions who 
      underwent arthroscopic resection. We also obtained VAS pain scores and the Mayo 
      Wrist Scores (MWS) preoperatively and at 2 weeks, 6 weeks, 3 months, 6 months, 1 
      year, and annually thereafter postoperatively. Minimum followup was 24 months 
      (mean, 38.9 months; range, 24-60 months). RESULTS: Twenty-one patients had other 
      coexisting intraarticular disorders: 18 triangular fibrocartilage complex tears 
      and nine intrinsic ligament tears. All coexisting disorders were treated 
      simultaneously. Two years after surgery, the mean VAS pain score decreased from 
      2.4 to 0.6, and mean grip strength increased from 28 to 36 kg of force. The mean 
      active flexion-extension showed no change. The mean MWS improved from 74 to 91. 
      Three ganglions recurred. There was no difference in mean VAS pain score and MWS 
      preoperatively and at 2 years after surgery or recurrence of ganglions between 
      patients with or without coexisting lesions. CONCLUSIONS: Intraarticular 
      disorders commonly coexist with ganglions but we found they were unrelated to 
      pain, function, and recurrence after arthroscopic resection of the ganglion when 
      the intraarticular disorders were treated simultaneously. LEVEL OF EVIDENCE: 
      Level IV, therapeutic study. See Guidelines for Authors for a complete 
      description of levels of evidence.
FAU - Kang, Ho Jung
AU  - Kang HJ
AD  - Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College 
      of Medicine, Seoul, South Korea.
FAU - Koh, Il Hyun
AU  - Koh IH
FAU - Kim, Ji Sub
AU  - Kim JS
FAU - Choi, Yun Rak
AU  - Choi YR
LA  - eng
PT  - Journal Article
DEP - 20130221
PL  - United States
TA  - Clin Orthop Relat Res
JT  - Clinical orthopaedics and related research
JID - 0075674
SB  - IM
MH  - Adult
MH  - *Arthroscopy/adverse effects
MH  - Biomechanical Phenomena
MH  - Chi-Square Distribution
MH  - Female
MH  - Hand Strength
MH  - Humans
MH  - Ligaments/diagnostic imaging/*injuries/physiopathology
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - Pain, Postoperative/etiology
MH  - Radiography
MH  - Range of Motion, Articular
MH  - Recovery of Function
MH  - Recurrence
MH  - Reoperation
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Synovial Cyst/complications/diagnosis/physiopathology/*surgery
MH  - Time Factors
MH  - Treatment Outcome
MH  - Triangular Fibrocartilage/diagnostic imaging/*injuries/physiopathology
MH  - Wrist/diagnostic imaging/physiopathology/*surgery
MH  - Wrist Injuries/*complications/diagnosis/physiopathology
MH  - Young Adult
PMC - PMC3676617
EDAT- 2013/02/23 06:00
MHDA- 2013/08/29 06:00
PMCR- 2014/07/01
CRDT- 2013/02/23 06:00
PHST- 2012/09/26 00:00 [received]
PHST- 2013/02/11 00:00 [accepted]
PHST- 2013/02/23 06:00 [entrez]
PHST- 2013/02/23 06:00 [pubmed]
PHST- 2013/08/29 06:00 [medline]
PHST- 2014/07/01 00:00 [pmc-release]
AID - 2870 [pii]
AID - 10.1007/s11999-013-2870-5 [doi]
PST - ppublish
SO  - Clin Orthop Relat Res. 2013 Jul;471(7):2212-8. doi: 10.1007/s11999-013-2870-5. 
      Epub 2013 Feb 21.