PMID- 35415521
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220414
IS  - 2589-5141 (Electronic)
IS  - 2589-5141 (Linking)
VI  - 2
IP  - 6
DP  - 2020 Nov
TI  - Epidemiology of Symptomatic Dorsal Wrist Ganglia in Active Duty Military and 
      Civilian Populations.
PG  - 349-353
LID - 10.1016/j.jhsg.2020.08.001 [doi]
AB  - PURPOSE: The epidemiology of dorsal wrist ganglia (DWG) has been poorly studied. 
      The purpose of this study was to determine the epidemiology of DWG in the US 
      military and civilian populations. We hypothesized that military service would be 
      associated with an increased risk for developing a DWG. METHODS: The US 
      Department of Defense Management Analysis and Reporting Tool, a database of 
      health care encounters by military personnel and dependents, was queried for 
      encounters with an International Classification of Diseases, Ninth Revision 
      diagnosis of 727.41 (ganglion of a joint) or 727.43 (ganglion, unspecified 
      location) between 2009 and 2014. There is no specific code for DWG, so a random 
      sample of 1,000 patients was selected from both the military and civilian 
      cohorts. These 2,000 electronic medical records were examined to identify 
      patients with a DWG. This estimate was used to determine the unadjusted incidence 
      of DWG with a 95% confidence interval and a 5% margin of error in the entire 
      military and civilian dependent population. Adjusted incidence rates and 
      incidence rate ratios (IRR) were determined using Poisson regression, controlling 
      for demographic covariates. RESULTS: The incidence of DWG in the military 
      population is 14.25/10,000 person-years compared with 7.01/10,000 person-years in 
      the civilian population. Female sex was a significant risk factor in both the 
      military (IRR, 2.59) and civilian populations (IRR, 2.26). Younger age group (age 
      25-34 years) was a significant risk factor for DWG compared with an older age 
      group (age 45-64 years) in both the military (IRR, 1.74) and civilian populations 
      (IRR, 2.56). Senior rank (both officer and enlisted) was a significant risk 
      factor for DWG compared with junior rank (IRR, 1.95). CONCLUSIONS: The incidence 
      of DWG was higher in the military compared with the civilian population. There is 
      a higher incidence of a DWG in females and in the senior ranks (both officer and 
      enlisted). TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic III.
CI  - (c) 2020 THE AUTHORS. Published by Elsevier Inc. on behalf of The American Society 
      for Surgery of the Hand.
FAU - Dworak, Theodora C
AU  - Dworak TC
AD  - Department of Orthopaedics, Walter Reed National Military Medical Center, 
      Bethesda, MD.
AD  - Department of Surgery, Uniformed Services University of the Health Sciences, 
      Bethesda, MD.
FAU - Balazs, George C
AU  - Balazs GC
AD  - Department of Orthopaedics, Walter Reed National Military Medical Center, 
      Bethesda, MD.
AD  - Department of Surgery, Uniformed Services University of the Health Sciences, 
      Bethesda, MD.
FAU - Tropf, Jordan
AU  - Tropf J
AD  - Department of Orthopaedics, Walter Reed National Military Medical Center, 
      Bethesda, MD.
FAU - Nanos, George P 3rd
AU  - Nanos GP 3rd
AD  - Department of Orthopaedics, Walter Reed National Military Medical Center, 
      Bethesda, MD.
AD  - Department of Surgery, Uniformed Services University of the Health Sciences, 
      Bethesda, MD.
FAU - Tintle, Scott M
AU  - Tintle SM
AD  - Department of Orthopaedics, Walter Reed National Military Medical Center, 
      Bethesda, MD.
AD  - Department of Surgery, Uniformed Services University of the Health Sciences, 
      Bethesda, MD.
AD  - Department of Orthopaedic Surgery, University of Pennsylvania Health System, 
      Philadelphia, PA.
LA  - eng
PT  - Journal Article
DEP - 20200918
PL  - United States
TA  - J Hand Surg Glob Online
JT  - Journal of hand surgery global online
JID - 101759126
PMC - PMC8991698
OTO - NOTNLM
OT  - Dorsal wrist ganglia
OT  - Epidemiology
OT  - Hand mass
EDAT- 2020/09/18 00:00
MHDA- 2020/09/18 00:01
PMCR- 2020/09/18
CRDT- 2022/04/13 05:37
PHST- 2019/01/23 00:00 [received]
PHST- 2020/08/04 00:00 [accepted]
PHST- 2022/04/13 05:37 [entrez]
PHST- 2020/09/18 00:00 [pubmed]
PHST- 2020/09/18 00:01 [medline]
PHST- 2020/09/18 00:00 [pmc-release]
AID - S2589-5141(20)30076-1 [pii]
AID - 10.1016/j.jhsg.2020.08.001 [doi]
PST - epublish
SO  - J Hand Surg Glob Online. 2020 Sep 18;2(6):349-353. doi: 
      10.1016/j.jhsg.2020.08.001. eCollection 2020 Nov.